Physician Compare National (NPI:1730158718)

HEALTHCARE PROVIDER: ALFONSO RAMIREZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730158718
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092849729
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100817001402
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RAMIREZ
	Individual professional last name
Provider First Name	ALFONSO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1121 W JEFFERSON BLVD
	Group Practice or individual's line 1 address
City	DALLAS
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	752085145
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2149435773
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	METHODIST DALLAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y