MEDICARE: MR. RAMON CREIXELL MD

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	K4670	TX

General Provider Information

NPI Number	:	1649263021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMON CREIXELL MD

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE
Second Line	:	SUITE 121
City	:	HOUSTON
State	:	TX
Zip	:	77082-2432
Country	:	US
Telephone Number	:	281-558-0103
Fax Number	:	281-558-1741

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE
Second Line	:	SUITE 121
City	:	HOUSTON
State	:	TX
Zip	:	77082-2432
Country	:	US
Telephone Number	:	281-558-0103
Fax Number	:	281-558-1741

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	02/04/2025

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