Healthcare Provider Details

I. General information

NPI: 1285233346
Provider Name (Legal Business Name): RENE RAMIREZ HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2020
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 N MAY AVE
OKLAHOMA CITY OK
73112-6239
US

IV. Provider business mailing address

4101 N MAY AVE
OKLAHOMA CITY OK
73112-6239
US

V. Phone/Fax

Practice location:
  • Phone: 405-200-0385
  • Fax:
Mailing address:
  • Phone: 405-200-0385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number80882
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: