Provider Demographics
NPI:1215359740
Name:DORIA, RAMON G (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:G
Last Name:DORIA
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 HAYNES AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-3600
Mailing Address - Country:US
Mailing Address - Phone:918-504-6953
Mailing Address - Fax:
Practice Address - Street 1:4305 N GARFIELD ST STE 229
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4343
Practice Address - Country:US
Practice Address - Phone:432-520-0414
Practice Address - Fax:432-224-1010
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
TX0115973747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant