MEDICARE: PRISCILLA 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
1	2355S0801X	Speech-Language Assistant	39235	TX

General Provider Information

NPI Number	:	1790285278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRISCILLA RAMIREZ

Provider Business Mailing Address
First Line	:	10555 TURTLEWOOD CT UNIT 808
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10555 TURTLEWOOD CT UNIT 808
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2724
Country	:	US
Telephone Number	:	281-935-2930
Fax Number	:

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

Provider Enumeration Date	:	02/20/2018
Last Update Date	:	02/20/2018

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Directions to “ PRISCILLA RAMIREZ ” Practice Location

Language	Start Address	Practice Location

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