Provider Demographics
NPI:1326828500
Name:COX RAMIREZ, KACEE DIANE (NP)
Entity Type:Individual
Prefix:
First Name:KACEE
Middle Name:DIANE
Last Name:COX RAMIREZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 W LEAGUE CITY PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7340
Mailing Address - Country:US
Mailing Address - Phone:281-525-6290
Mailing Address - Fax:832-905-6173
Practice Address - Street 1:1507 W LEAGUE CITY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-7340
Practice Address - Country:US
Practice Address - Phone:281-525-6290
Practice Address - Fax:832-905-6173
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1136370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily