Provider Demographics
NPI:1962411538
Name:RATLIFF, CURTIS EARL (DC)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:EARL
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3178
Mailing Address - Country:US
Mailing Address - Phone:817-329-8393
Mailing Address - Fax:817-416-6263
Practice Address - Street 1:1611 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3178
Practice Address - Country:US
Practice Address - Phone:817-329-8393
Practice Address - Fax:817-416-6263
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4698111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601941Medicare PIN
TXT15441Medicare UPIN