Provider Demographics
NPI:1023005014
Name:BOSQUEZ, LOURDES RAMIREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:RAMIREZ
Last Name:BOSQUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9006 FOREST XING
Mailing Address - Street 2:SUITE C
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1185
Mailing Address - Country:US
Mailing Address - Phone:281-364-9884
Mailing Address - Fax:281-364-7747
Practice Address - Street 1:9006 FOREST XING
Practice Address - Street 2:SUITE C
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1185
Practice Address - Country:US
Practice Address - Phone:281-364-9884
Practice Address - Fax:281-364-7747
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK24222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029726901Medicaid
TXG47227Medicare UPIN
TX029726901Medicaid