person
Dr. Kenneth James Ratajczak, MD
General Practice Physician in Waco, Texas
NPI 1063418929

Kenneth James Ratajczak is a General Practice Physician based in Waco, TX. Kenneth James Ratajczak practices in Waco, TX and has the professional credentials of MD. The NPI Number for Kenneth James Ratajczak is 1063418929 and holds a License No. H1651 (Texas).

The current practice location address for Kenneth James Ratajczak is 3724 Greenleaf Drive, Waco, TX and can be reached out via phone at 254-776-4804. You can also correspond with Kenneth James Ratajczak through the mailing address at 3724 GREENLEAF DR, WACO, TX - 76710-1414 (mailing address contact number: 254-776-4804).

Location: 3724 Greenleaf Drive, Waco, TX, 76710-1414
person
Provider Profile Details
NPI Number
1063418929
Provider Name
Kenneth James Ratajczak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3724 Greenleaf Drive, Waco, TX, 76710-1414
Phone Number
254-776-4804
Fax Number
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134236208 05 TX
134236209 05 TX
P00124090 01 TN RAILROAD MEDICARE PROV NO
8K6251 01 TX BCBS PROVIDER NUMBER
5698031 01 TX AETNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3724 Greenleaf Drive
City
State
Zip
76710-1414
Phone Number
254-776-4804
Fax Number
person
Provider Business Mailing Address Details
Address
3724 Greenleaf Drive
City
State
Zip
76710-1414
Phone Number
254-776-4804
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
H1561 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
H1651 (Texas)
Definition
Definition to come...
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