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Individual

ISRAEL RAMIREZ

Active
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Individual

ISRAEL RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

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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