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General NPI Number Information
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NPI Number | 1629056767
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Entity Type | Organization
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Legal Business Name | HERIBERTO D RAMOS O.D.,P.A.
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 7042 S STAPLES ST STE 101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-1934
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Country | US
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Telephone | 361-980-0523
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Fax | 361-994-5397
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Provider Business Mailing Address
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Address Line | 7042 S STAPLES ST STE 101
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-1934
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Country | US
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Telephone | 361-980-0523
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Fax | 361-994-5397
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERIBERTO DANIEL RAMOS
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Credential | O.D.
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Telephone | 361-980-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5882TG
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License Number State | TX
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