MEDICARE: DR. MARIE ANTONETTE A RAMOS 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	208M00000X	Hospitalist Physician	N9625	TX
2	208000000X	Pediatrics Physician	N9625	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	41387	OTHER	IA	WELLMARK

General Provider Information

NPI Number	:	1588762348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE ANTONETTE A RAMOS MD

Provider Business Mailing Address
First Line	:	2460 N IH 35 E STE 100
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5267
Country	:	US
Telephone Number	:	469-800-9500
Fax Number	:	469-800-9510

Provider Business Practice Location Address
First Line	:	2460 N IH 35 E STE 100
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5267
Country	:	US
Telephone Number	:	469-800-9500
Fax Number	:	469-800-9510

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/06/2025

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