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General NPI Number Information
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NPI Number | 1548569205
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Entity Type | Organization
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Legal Business Name | R. SERGIO RAMIREZ, M.D., P.A.
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 3200 W MILE 5 RD STE 3
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City | MISSION
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State | TX
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Zip | 78574-6206
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Country | US
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Telephone | 956-581-9800
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Fax | 956-581-9801
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Provider Business Mailing Address
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Address Line | 210 S BRYAN RD STE 5A
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City | MISSION
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State | TX
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Zip | 78572-6204
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Country | US
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Telephone | 956-585-6611
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Fax | 956-585-1822
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. ROGELIO SERGIO RAMIREZ
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Credential | M.D.
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Telephone | 956-585-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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