Provider Demographics
NPI:1851304679
Name:RATLIFF, WILLIAM MICHAEL
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:MICHAEL
Other - Last Name:RATLIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1631 NORTH LOOP WEST #645
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1599
Mailing Address - Country:US
Mailing Address - Phone:713-862-9900
Mailing Address - Fax:713-862-9769
Practice Address - Street 1:1631 NORTH LOOP WEST #645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1599
Practice Address - Country:US
Practice Address - Phone:713-862-9900
Practice Address - Fax:713-862-9769
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1015208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0011CDMedicare PIN