Individual
ANGELIQUE M. RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3310 LIVE OAK ST, COPC ADMINISTRATION, DALLAS, TX 75204-6153
(214) 590-0100
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139127802
—
TX
05
—
139127803
—
TX
05
—
139127804
—
TX
05
—
139127805
—
TX
05
—
139127806
—
TX
05
—
139127807
—
TX
05
—
139127808
—
TX
05
—
139127809
—
TX
05
—
139127810
—
TX
05
—
139127812
—
TX
05
—
139127813
—
TX
05
—
139127814
—
TX
Enumeration date
12/07/2005
Last updated
07/25/2008
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