=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770047508
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOUIS E. RAMOS, MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2019
-----------------------------------------------------
Last Update Date | 01/25/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3705 MEDICAL PKWY STE 440
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-640-2691
-----------------------------------------------------
Fax | 512-598-8699
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3705 MEDICAL PKWY STE 440
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78705-1023
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-640-2691
-----------------------------------------------------
Fax | 512-598-8699
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT, OWNER
-----------------------------------------------------
Name | LOUIS E RAMOS
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 512-640-2691
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------