Healthcare Provider Details

I. General information

NPI: 1518146851
Provider Name (Legal Business Name): GONZALO RAMOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7838 LONG POINT RD
HOUSTON TX
77055-3621
US

IV. Provider business mailing address

211 E 7TH ST STE 700
AUSTIN TX
78701-3218
US

V. Phone/Fax

Practice location:
  • Phone: 888-478-8432
  • Fax: 833-845-2871
Mailing address:
  • Phone: 888-478-8432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM6985
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: