Provider Demographics
NPI:1225706898
Name:RAMOS VELOZ, SHEILA ESTHER (DMD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ESTHER
Last Name:RAMOS VELOZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 STONELEDGE DR APT 1122
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1131
Mailing Address - Country:US
Mailing Address - Phone:939-403-6629
Mailing Address - Fax:
Practice Address - Street 1:2609 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2326
Practice Address - Country:US
Practice Address - Phone:903-201-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice