Provider Demographics
NPI:1326342783
Name:CI RAMCO INC
Entity Type:Organization
Organization Name:CI RAMCO INC
Other - Org Name:NUTRITION CLINIC OF SOUTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILERETTE
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD/LD
Authorized Official - Phone:956-458-0874
Mailing Address - Street 1:801 E FERN AVE
Mailing Address - Street 2:SUITE 168
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1496
Mailing Address - Country:US
Mailing Address - Phone:956-458-0874
Mailing Address - Fax:
Practice Address - Street 1:801 E FERN AVE
Practice Address - Street 2:SUITE 168
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1496
Practice Address - Country:US
Practice Address - Phone:956-458-0874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80162133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty