MEDICARE: THERESA A RAMEDEN, MD, PA

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	207Q00000X	Family Medicine Physician	H6197	TX

General Provider Information

NPI Number	:	1578534608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERESA A RAMEDEN, MD, PA

Provider Business Mailing Address
First Line	:	3828 HUGHES CT
Second Line	:	SUITE106
City	:	DICKINSON
State	:	TX
Zip	:	77539-6244
Country	:	US
Telephone Number	:	281-534-2766
Fax Number	:	281-534-0361

Provider Business Practice Location Address
First Line	:	3828 HUGHES CT
Second Line	:	SUITE106
City	:	DICKINSON
State	:	TX
Zip	:	77539-6244
Country	:	US
Telephone Number	:	281-534-2766
Fax Number	:	281-534-0361

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THERESA ANN RAMEDEN
Credential	:	MD
Telephone Number	:	281-534-2766

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/22/2020

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