=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487960753
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPHEN F. RAMIREZ, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2010
-----------------------------------------------------
Last Update Date | 08/25/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 GALLERY CIR SUITE 131
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78258-3327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-490-5100
-----------------------------------------------------
Fax | 210-490-5179
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 109 GALLERY CIR SUITE 131
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78258-3327
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-490-5100
-----------------------------------------------------
Fax | 210-490-5179
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR/OWNER
-----------------------------------------------------
Name | DR. STEPHEN F. RAMIREZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 210-490-5100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | K2369
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------