Provider Demographics
NPI:1700041191
Name:STEELE, RALPH (BCPC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 MIMOSA CT
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-7211
Mailing Address - Country:US
Mailing Address - Phone:254-733-5179
Mailing Address - Fax:817-858-0288
Practice Address - Street 1:2704 MIMOSA CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-7211
Practice Address - Country:US
Practice Address - Phone:254-733-5179
Practice Address - Fax:817-858-0288
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional