Organization
KIDNEY DOCTORS OF SOUTH TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH RAMOS M.D. (OWNER)
(956) 519-2315
Entity
Organization
Contact information
Practice address
1300 S BRYAN RD, SUITE 106, MISSION, TX 78572-6626
(956) 519-2315
(956) 519-0483
Mailing address
PO BOX 4412, MCALLEN, TX 78502-4412
(956) 519-2315
(956) 519-0483
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056NT
BLUE CROSS BLUE SHIELD
—
05
—
180044303
—
TX
01
—
DE8323
RAILROAD MEDICARE
TX
Enumeration date
07/02/2006
Last updated
12/17/2018
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