Provider Demographics
NPI:1356008114
Name:RAMIREZ, DAVID (CSFA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2144
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-2144
Mailing Address - Country:US
Mailing Address - Phone:832-932-5787
Mailing Address - Fax:
Practice Address - Street 1:3101 NASA PKWY STE F
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6475
Practice Address - Country:US
Practice Address - Phone:832-932-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206493OtherCSFA