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Individual

MR. ALFONSO RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 W JEFFERSON BLVD, DALLAS, TX 75208-5145
(214) 943-5773
(469) 364-7978
Mailing address
1121 W JEFFERSON BLVD, DALLAS, TX 75208-5145
(214) 943-5773
(214) 948-3944

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F1919
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00PL08
BCBS
TX
05
114491701
TX
01
4553489
AETNA PROVIDER NO
01
75-2169593
UHC & OTHER INS ID
Enumeration date
03/14/2006
Last updated
09/20/2023
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