MEDICARE: MARIBEL P RAMIREZ NURSE PRACTITONER

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
1	363LA2100X	Acute Care Nurse Practitioner	AP134294	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174038343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL P RAMIREZ NURSE PRACTITONER

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE STE 409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2439
Country	:	US
Telephone Number	:	281-493-4922
Fax Number	:

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE STE 409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2439
Country	:	US
Telephone Number	:	281-493-4922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2017
Last Update Date	:	12/08/2017

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