Provider Demographics
NPI:1619169778
Name:HOMBRE ROSE INC
Entity Type:Organization
Organization Name:HOMBRE ROSE INC
Other - Org Name:RATLIFF CHIROPRACTIC HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RATLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-329-8393
Mailing Address - Street 1:1011 W WALL ST
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-5151
Mailing Address - Country:US
Mailing Address - Phone:817-329-8393
Mailing Address - Fax:817-416-6263
Practice Address - Street 1:1011 W WALL ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-5151
Practice Address - Country:US
Practice Address - Phone:817-329-8393
Practice Address - Fax:817-416-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8Z1148OtherCURTIS RATLIFF D.C. BCBS
1962411538OtherCURTIS RATLIFF D.C. NPI
3235HMOtherRATLIFF CHIROPRACTIC BCBS
T15441Medicare UPIN
8M8700OtherDEANNA KENNEDYBCBS #
1043229636OtherDEANNA KENNEDY D.C. NPI