MEDICARE: MRS. TERESITA RAMIREZ-SCOTT PA-C

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	363A00000X	Physician Assistant	PA00821	TX

General Provider Information

NPI Number	:	1699863241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESITA RAMIREZ-SCOTT PA-C

Provider Business Mailing Address
First Line	:	6404 WINDY WAY LN
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7017
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12755 WOODFOREST BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-2737
Country	:	US
Telephone Number	:	713-455-1306
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/09/2007

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