Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | M2763 | TX |
N | 207R00000X | Internist | M2763 | TX |
N | 111NI0900X | Internist | M2763 | TX |
NPI | 1063512713 |
---|---|
Provider Name | Robert M Ramirez |
First Address | San Antonio, TX 78229-3358 |
Second Address | San Antonio, TX 78229-3358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 19/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I67282 | (02) | TX |