Provider Demographics
NPI:1164831327
Name:SYLVESTER G RAMIREZ MD PLLC
Entity Type:Organization
Organization Name:SYLVESTER G RAMIREZ MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-315-2515
Mailing Address - Street 1:1001 WATER ST
Mailing Address - Street 2:STE D-100
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-3523
Mailing Address - Country:US
Mailing Address - Phone:830-315-2515
Mailing Address - Fax:830-315-2518
Practice Address - Street 1:1001 WATER ST
Practice Address - Street 2:STE D-100
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-3523
Practice Address - Country:US
Practice Address - Phone:830-315-2515
Practice Address - Fax:830-315-2518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1522207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00F3F9OtherBCBS OF TEXAS
TX343008401Medicaid
TX343008401Medicaid