Provider Demographics
NPI:1235137662
Name:RAMSEY, ALICE L (MD)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:L
Last Name:RAMSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-5151
Mailing Address - Country:US
Mailing Address - Phone:940-325-9485
Mailing Address - Fax:940-325-4325
Practice Address - Street 1:108 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-5151
Practice Address - Country:US
Practice Address - Phone:940-325-9485
Practice Address - Fax:940-325-4325
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-10
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2987207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113311801Medicaid
TX00144JMedicare PIN
TXG52710Medicare UPIN