MEDICARE: PEDRO HEBERTO RAMIREZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	F2865	TX

General Provider Information

NPI Number	:	1194718502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO HEBERTO RAMIREZ MD

Provider Business Mailing Address
First Line	:	7505 GLENVIEW DR
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-0778
Fax Number	:	817-589-1162

Provider Business Practice Location Address
First Line	:	7505 GLENVIEW DR
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-0778
Fax Number	:	817-589-1162

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/08/2007

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