MEDICARE: RAMIREZ MEDICAL ASSOCIATES, PLLC

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	208D00000X	General Practice Physician	H0743	TX

General Provider Information

NPI Number	:	1851776066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMIREZ MEDICAL ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	901 S 75TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4303
Country	:	US
Telephone Number	:	832-280-6037
Fax Number	:	832-941-1481

Provider Business Practice Location Address
First Line	:	901 S 75TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4303
Country	:	US
Telephone Number	:	832-280-6037
Fax Number	:	832-941-1481

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN PEREZ RAMIREZ
Credential	:	MD
Telephone Number	:	832-373-3261

Provider Enumeration Date	:	07/29/2015
Last Update Date	:	08/05/2015

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