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NPI Code Detail

MEDICARE: MR. CORNELIO SILVAS RAMIREZ JR. P.T.

MEDICARE: MR. CORNELIO SILVAS RAMIREZ JR. P.T.
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
1225100000XPhysical Therapist1135465TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T3653OTHERTXBCBS ID#

General Provider Information

NPI Number : 1477537082
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CORNELIO SILVAS RAMIREZ JR. P.T.
Provider Business Mailing Address
First Line : 8955 HIGHWAY 6 N STE 190
Second Line :
City : HOUSTON
State : TX
Zip : 77095-2321
Country : US
Telephone Number : 325-938-6008
Fax Number : 832-593-8601
Provider Business Practice Location Address
First Line : 12000 RICHMOND AVE
Second Line : SUITE 150
City : HOUSTON
State : TX
Zip : 77082-2431
Country : US
Telephone Number : 281-920-5100
Fax Number : 281-920-5101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 08/20/2020

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