MEDICARE: MR. DANIEL ROBERTO RAMIREZ LPC

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	101YP2500X	Professional Counselor	64259	TX

General Provider Information

NPI Number	:	1699053090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL ROBERTO RAMIREZ LPC

Provider Business Mailing Address
First Line	:	4321 DURANGO LN
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-4415
Country	:	US
Telephone Number	:	972-529-9096
Fax Number	:	567-429-5878

Provider Business Practice Location Address
First Line	:	5900 S LAKE FOREST DR
Second Line	:	SUITE 200
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2193
Country	:	US
Telephone Number	:	214-504-1209
Fax Number	:	567-429-5878

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

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	08/02/2011

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