Healthcare Provider Details

I. General information

NPI: 1063721793
Provider Name (Legal Business Name): ERIC RAMIREZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 BROADWAY ST STE 422
PEARLAND TX
77584-7896
US

IV. Provider business mailing address

9330 BROADWAY ST STE 422
PEARLAND TX
77584-7896
US

V. Phone/Fax

Practice location:
  • Phone: 281-416-5511
  • Fax: 281-416-5549
Mailing address:
  • Phone: 281-416-5511
  • Fax: 281-416-5549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11469
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: