Healthcare Provider Details

I. General information

NPI: 1740075613
Provider Name (Legal Business Name): ANALIAH ROSE RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PALO ALTO RD STE 120
SAN ANTONIO TX
78211-3773
US

IV. Provider business mailing address

102 PALO ALTO RD STE 120
SAN ANTONIO TX
78211-3773
US

V. Phone/Fax

Practice location:
  • Phone: 210-922-1785
  • Fax:
Mailing address:
  • Phone: 210-922-1785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number123248
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: