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Individual
RANDY RAMIREZ
Active
Individual
RANDY RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132718
TX
363LA2100X
Acute Care Nurse Practitioner
AP132718
TX
363LG0600X
Gerontology Nurse Practitioner
AP132718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368977001
—
TX
01
—
8858MB
BCBS
TX
Enumeration date
12/05/2016
Last updated
06/28/2022
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