Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | Q5076 | TX |
NPI | 1003127002 |
---|---|
Provider Name | Dr. Jorge A. Ramirez |
First Address | San Antonio, TX 78229-3901 |
Second Address | Laredo, TX 78041-5456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 16/09/2020 |