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NPI Code Detail

MEDICARE: DR. KYRALESSA BEATRIZ RAMIREZ

MEDICARE: DR. KYRALESSA BEATRIZ RAMIREZ
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
1208000000XPediatrics PhysicianBP1-0026319TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13851657178OTHERMYUTMB 3851657178-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1720282304
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYRALESSA BEATRIZ RAMIREZ
Provider Business Mailing Address
First Line : 2514 MURICIA DR
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2580
Country : US
Telephone Number : 409-789-6910
Fax Number :
Provider Business Practice Location Address
First Line : 4501 GROVEWAY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1122
Country : US
Telephone Number : 713-644-1568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 11/16/2011

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