Provider Demographics
NPI:1073102257
Name:RAMIREZ, GLORIA (CPHT)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6607 S IH 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-3410
Mailing Address - Country:US
Mailing Address - Phone:512-441-3692
Mailing Address - Fax:
Practice Address - Street 1:6607 S IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-3410
Practice Address - Country:US
Practice Address - Phone:512-441-3692
Practice Address - Fax:866-498-1488
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124522183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician