1255411484 NPI number — MARIA C. RAMIREZ-NIETO M.D., P.A.

Table of content: (NPI 1255411484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255411484 NPI number — MARIA C. RAMIREZ-NIETO M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARIA C. RAMIREZ-NIETO M.D., P.A.
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:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255411484
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 79308
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77279-9308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-398-9711
Provider Business Mailing Address Fax Number:
281-398-9641

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
777 S FRY RD
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77450-2244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-398-9711
Provider Business Practice Location Address Fax Number:
281-398-9641
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
FRANCISCO
Authorized Official Middle Name:
JAVIER
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
281-398-9711

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0801607 01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 130019740 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 4540550001 . This is a "MEDICARE DME" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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