Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G8360 | TX |
N | 2080A0000X | Adolescent Medicine | G8360 | TX |
NPI | 1114015278 |
---|---|
Provider Name | Karla Swenson Ramsey |
First Address | Cypress, TX 77429-1439 |
Second Address | Cypress, TX 77429-1439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 09/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E22369 | (02) | TX |