Organization
AVANTA HEALTH PROFESSIONALS, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO JOSE RAMOS M.D. (MEDICAL DIRECTOR)
(713) 885-9899
Entity
Organization
Contact information
Practice address
1302 N SHEPHERD DR, HOUSTON, TX 77008-3752
(713) 885-9899
(713) 885-9871
Mailing address
1302 N SHEPHERD DR, HOUSTON, TX 77008-3752
(713) 885-9899
(713) 885-9871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044420454001
TRICARE
TX
Enumeration date
07/04/2006
Last updated
06/30/2022
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