Dr SAMUEL W RALSTON is a male medical professional, specializing in Family Medicine. He graduated in 1981 from University Of Texas Medical Branch At Galveston.
PROVIDENCE HEALTH ALLIANCE
6101 WOODWAY DR
200 PROVIDENCE FAMILY HEALTH CLINIC
WACO
TX
767126117
Tel: 2545376300
| Npi | 1891767539 |
| Pac Id | 3971644758 |
| Professional Enrollment Id | I20091231000275 |
| Last Name | RALSTON |
| First Name | SAMUEL |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE HEALTH ALLIANCE |
| Group Practice Pac Id | 6305731068 |
| Number Of Group Practice Members | 120 |
| Line 1 Street Address | 6101 WOODWAY DR |
| Line 2 Street Address | 200 PROVIDENCE FAMILY HEALTH CLINIC |
| Marker Of Address Line 2 Suppression | |
| City | WACO |
| State | TX |
| Zip Code | 767126117 |
| Phone Number | 2545376300 |
| Hospital Affiliation Ccn 1 | 450042 |
| Hospital Affiliation Lbn 1 | PROVIDENCE HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 450101 |
| Hospital Affiliation Lbn 2 | BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.