Provider Demographics
NPI:1003091976
Name:RAMOS, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3110 NOGALITOS
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78225-2337
Mailing Address - Country:US
Mailing Address - Phone:210-533-0257
Mailing Address - Fax:210-531-9488
Practice Address - Street 1:3110 NOGALITOS
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78225-2337
Practice Address - Country:US
Practice Address - Phone:210-533-0257
Practice Address - Fax:210-534-0890
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2023-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7743207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX12157431OtherCAQH-
TX217279303Medicaid
TXTX N7743OtherTX MEDICAL LICENSE
TXTXB153357OtherTEXAS MEDICARE
TX294093Medicare PIN
TXTX N7743OtherTX MEDICAL LICENSE