Provider Demographics
NPI:1114247749
Name:RAMDASS, DAIAWANTIE (APRN, RNC, MSN, BC)
Entity Type:Individual
Prefix:
First Name:DAIAWANTIE
Middle Name:
Last Name:RAMDASS
Suffix:
Gender:F
Credentials:APRN, RNC, MSN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 FLOYD CURL DR
Mailing Address - Street 2:METHODIST HOSPITAL, PALLIATIVE CARE PAIN MGMT UNIT
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3902
Mailing Address - Country:US
Mailing Address - Phone:210-369-8377
Mailing Address - Fax:210-575-4884
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:METHODIST HOSPITAL, PALLIATIVE CARE PAIN MGMT UNIT
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-369-8377
Practice Address - Fax:210-575-4884
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537738163W00000X, 163WG0600X, 363LA2100X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care