Provider Demographics
NPI:1154449973
Name:RAMIREZ, JULIO (RN,LSA)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN,LSA
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 5923
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491
Mailing Address - Country:US
Mailing Address - Phone:281-653-2924
Mailing Address - Fax:713-583-5766
Practice Address - Street 1:3638 CORCORAN DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4725
Practice Address - Country:US
Practice Address - Phone:281-653-2924
Practice Address - Fax:713-583-5766
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX748767163W00000X
TXSA00366363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No163W00000XNursing Service ProvidersRegistered Nurse