Provider Demographics
NPI:1285233346
Name:RAMIREZ, RENE (HIS)
Entity Type:Individual
Prefix:MR
First Name:RENE
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 BURLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-5209
Mailing Address - Country:US
Mailing Address - Phone:210-834-7887
Mailing Address - Fax:
Practice Address - Street 1:5749 SHERWOOD WAY
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-5643
Practice Address - Country:US
Practice Address - Phone:325-276-6115
Practice Address - Fax:325-223-5235
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80882237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist