Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N7743 | TX |
NPI | 1003091976 |
---|---|
Provider Name | Dr. David A. Ramos |
First Address | San Antonio, TX 78225-2337 |
Second Address | San Antonio, TX 78225-2337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2008 |
Last Update Date | 08/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12157431 | CAQH- (01) | TX |
217279303 | (05) | TX |
TX N7743 | TX MEDICAL LICENSE (01) | TX |
TXB153357 | TEXAS MEDICARE (01) | TX |