MEDICARE: RAMIREZMEDICAL MD PA

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1821332354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMIREZMEDICAL MD PA

Provider Business Mailing Address
First Line	:	6033 AIRLINE DR # C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4209
Country	:	US
Telephone Number	:	713-641-7500
Fax Number	:	713-645-7501

Provider Business Practice Location Address
First Line	:	6033 AIRLINE DR # C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4209
Country	:	US
Telephone Number	:	713-641-7500
Fax Number	:	713-645-7501

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN P RAMIREZ
Credential	:	MD
Telephone Number	:	713-641-7500

Provider Enumeration Date	:	11/21/2012
Last Update Date	:	11/21/2012

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