Individual
ISRAEL RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
16240 SAN PEDRO AVE LOT 67, SAN ANTONIO, TX 78232-3002
(210) 315-8777
(210) 257-0700
Mailing address
16240 SAN PEDRO AVE LOT 67, SAN ANTONIO, TX 78232-3002
(210) 315-8777
(210) 257-0700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12678962
CAQH
TX
01
—
147107
NBSTSA BOARD CERTIFICATION
—
Enumeration date
01/27/2014
Last updated
04/10/2020
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