1841517794 NPI number — TOXICOLOGY ASSOCIATES, INC

Table of content: DR. LYNN JOSEPH RAMIREZ M.D. (NPI 1669578811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841517794 NPI number — TOXICOLOGY ASSOCIATES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOXICOLOGY ASSOCIATES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841517794
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6910 BELLAIRE BLVD
Provider Second Line Business Mailing Address:
SUITE 12
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-3509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-541-3218
Provider Business Mailing Address Fax Number:
713-541-3217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5233 IH 37
Provider Second Line Business Practice Location Address:
SUITE C-17
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78408-2500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-882-2064
Provider Business Practice Location Address Fax Number:
361-882-8503
Provider Enumeration Date:
04/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COMSTOCK
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
G
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
713-541-3218

Provider Taxonomy Codes

  • Taxonomy code: 261QM2800X , with the licence number:  0000099 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)