Healthcare Provider Details

I. General information

NPI: 1124336383
Provider Name (Legal Business Name): JULIE RAMOS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2010
Last Update Date: 09/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 NOTTINGHAM DR
DENTON TX
76209-1270
US

IV. Provider business mailing address

3316 NOTTINGHAM DR
DENTON TX
76209-1270
US

V. Phone/Fax

Practice location:
  • Phone: 940-368-3180
  • Fax: 760-731-0414
Mailing address:
  • Phone: 940-368-3180
  • Fax: 760-731-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number696931
License Number StateTX

VIII. Authorized Official

Name: JULIE E RAMOS
Title or Position: PRESIDENT
Credential: RNFA
Phone: 940-368-3180