Individual
MR. MICAH ANTHONY RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
12997 FM 491, LYFORD, TX 78569-2500
(956) 648-2413
Mailing address
1681 RIVER RD APT 1103, BOERNE, TX 78006-8313
(956) 648-2413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7204
TX
Other
Enumeration date
11/03/2016
Last updated
07/23/2019
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