Provider Demographics
NPI:1083716054
Name:RAMIREZ, ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
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:PO BOX 810196
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75381-0196
Mailing Address - Country:US
Mailing Address - Phone:817-668-5795
Mailing Address - Fax:817-423-7389
Practice Address - Street 1:2601 W RANDOL MILL RD STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4216
Practice Address - Country:US
Practice Address - Phone:817-668-5795
Practice Address - Fax:817-423-7389
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3708208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F23527Medicare PIN
TX8F23527Medicare PIN