Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 1440 | TX |
NPI | 1336543602 |
---|---|
Provider Name | Laura B Ramsower |
First Address | Austin, TX 78757-6818 |
Second Address | Austin, TX 78704-7679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2014 |
Last Update Date | 15/10/2014 |