Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32-0015170 | TX |
N | 111NN1001X | Nutrition | 320015170 | TX |
N | 111NP0017X | Pediatric Chiropractor | 320015170 | TX |
N | 111NR0200X | Radiology | 320015170 | TX |
N | 213ER0200X | Radiology | 320015170 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 320015170 | TX |
N | 111NX0100X | Occupational Health | 320015170 | TX |
NPI | 1437370368 |
---|---|
Provider Name | Dr. Melissa Ramirez |
First Address | Angleton, TX 77516-1537 |
Second Address | Angleton, TX 77515-3914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 15/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T79127 | (02) | TX |