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Individual

VICTOR J RAMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
712 N WASHINGTON AVE, STE 404, DALLAS, TX 75246-1619
(214) 370-4000
Mailing address
4024 BRYN MAWR DR, DALLAS, TX 75225-7031
(214) 370-4000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G1167
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G1167
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117756003
TX
05
117756005
TX
01
8A0499
BCBS
TX
01
P00754973
RR MEDICARE
TX
Enumeration date
06/17/2005
Last updated
01/11/2016
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