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NPI Code Detail

MEDICARE: MELISSA RAMOS

MEDICARE: MELISSA RAMOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist1104909TX

General Provider Information

NPI Number : 1114112398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA RAMOS
Provider Business Mailing Address
First Line : 225 MESQUITE DR
Second Line :
City : LAGUNA VISTA
State : TX
Zip : 78578-2708
Country : US
Telephone Number : 956-943-2248
Fax Number :
Provider Business Practice Location Address
First Line : 225 MESQUITE DR
Second Line :
City : LAGUNA VISTA
State : TX
Zip : 78578-2708
Country : US
Telephone Number : 956-943-2248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 09/11/2007

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Directions to “ MELISSA RAMOS ” Practice Location

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