Provider Demographics
NPI:1154308930
Name:RAMAS, ROLAND P (PT)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:P
Last Name:RAMAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 S JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6199
Mailing Address - Country:US
Mailing Address - Phone:956-618-1300
Mailing Address - Fax:956-618-1385
Practice Address - Street 1:4716 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6199
Practice Address - Country:US
Practice Address - Phone:956-618-1300
Practice Address - Fax:956-618-1385
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1087096225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1494494801Medicaid
TX149449403Medicaid
TX149449403Medicaid