Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 31171 | TX |
NPI | 1003918160 |
---|---|
Provider Name | Michael C Ramsey |
First Address | San Antonio, TX 78209-4801 |
Second Address | San Antonio, TX 78209-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 30/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31171 | DENTIST (01) | TX |