Provider Demographics
NPI:1497089593
Name:RONALD G RITCHIE DC PC
Entity type:Organization
Organization Name:RONALD G RITCHIE DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:GREGG
Authorized Official - Last Name:RITCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-496-9800
Mailing Address - Street 1:4280 LAVON DR
Mailing Address - Street 2:STE 264
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2971
Mailing Address - Country:US
Mailing Address - Phone:972-496-9800
Mailing Address - Fax:972-496-9808
Practice Address - Street 1:4280 LAVON DR
Practice Address - Street 2:STE 264
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2971
Practice Address - Country:US
Practice Address - Phone:972-496-9800
Practice Address - Fax:972-496-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3061111NI0900X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0013351-01Medicaid
TX0013351-01Medicaid