Individual
GUSTAVO RAMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E SAVANNAH AVE STE 3, MCALLEN, TX 78503-1728
(956) 362-8525
(956) 362-8529
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8525
(956) 362-8529
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G5989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DQ71
BLUE CROSS BLUE SHIELD
TX
05
—
110356602
—
TX
Enumeration date
11/01/2007
Last updated
04/22/2019
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