Individual
ROBERT RAMIREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
11671 JOLLYVILLE RD, SUITE 101, AUSTIN, TX 78759-4139
(512) 335-8600
(512) 996-8118
Mailing address
11671 JOLLYVILLE RD, SUITE 101, AUSTIN, TX 78759-4139
(512) 335-8600
(512) 996-8118
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D16869
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/12/2006
Last updated
07/08/2007
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