Individual
COSTANZA RAMON-MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2405 S CLEAR CREEK RD, KILLEEN, TX 76549-5775
(254) 618-1888
(254) 519-5264
Mailing address
PO BOX 844658, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP115229
TX
Other
Enumeration date
08/31/2006
Last updated
12/20/2021
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