Provider Demographics
NPI:1033345459
Name:RAMIREZ, LAURA (PA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 N CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-7537
Mailing Address - Country:US
Mailing Address - Phone:817-861-4672
Mailing Address - Fax:817-861-9042
Practice Address - Street 1:314 N CENTER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-7537
Practice Address - Country:US
Practice Address - Phone:817-861-4672
Practice Address - Fax:817-861-9042
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00859363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant