Provider Demographics
NPI:1851896740
Name:APOLINARIO, RALPH ANDREI (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:ANDREI
Last Name:APOLINARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-3808
Mailing Address - Country:US
Mailing Address - Phone:806-935-7171
Mailing Address - Fax:
Practice Address - Street 1:1405 E 1ST ST STE 101
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-3569
Practice Address - Country:US
Practice Address - Phone:806-935-9195
Practice Address - Fax:806-935-7261
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT2814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program