Individual
EDID RAMOS-RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E PLEASANT RUN RD, DESOTO, TX 75115-3933
(972) 228-4888
Mailing address
315 E PLEASANT RUN RD, DESOTO, TX 75115-3933
(972) 228-4888
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
J9291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0964538-02
—
TX
Enumeration date
01/09/2007
Last updated
07/12/2007
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