Provider Demographics
NPI:1215657580
Name:RALSTON TECHNOLOGIES PLLC
Entity type:Organization
Organization Name:RALSTON TECHNOLOGIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-530-6827
Mailing Address - Street 1:14983 BOAZ LN
Mailing Address - Street 2:
Mailing Address - City:LINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:75771-4801
Mailing Address - Country:US
Mailing Address - Phone:972-896-1843
Mailing Address - Fax:214-919-2560
Practice Address - Street 1:3523 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6365
Practice Address - Country:US
Practice Address - Phone:972-896-1843
Practice Address - Fax:214-919-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty