Provider Demographics
NPI:1255632766
Name:PEDRO RAMIREZ MD PA
Entity type:Organization
Organization Name:PEDRO RAMIREZ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-284-0778
Mailing Address - Street 1:7505 GLENVIEW DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8335
Mailing Address - Country:US
Mailing Address - Phone:817-284-0778
Mailing Address - Fax:817-589-1162
Practice Address - Street 1:7505 GLENVIEW DR
Practice Address - Street 2:SUITE H
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8335
Practice Address - Country:US
Practice Address - Phone:817-284-0778
Practice Address - Fax:817-589-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-2865174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25768Medicare UPIN