Provider Demographics
NPI:1407923964
Name:KRAMER, RONALD JAMES (CERTIFIED ORTHOTIC F)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JAMES
Last Name:KRAMER
Suffix:
Gender:M
Credentials:CERTIFIED ORTHOTIC F
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 172945
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-2945
Mailing Address - Country:US
Mailing Address - Phone:817-572-0360
Mailing Address - Fax:866-673-6275
Practice Address - Street 1:4500 J D MOUSER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ALVARADO
Practice Address - State:TX
Practice Address - Zip Code:76009-5170
Practice Address - Country:US
Practice Address - Phone:817-572-0360
Practice Address - Fax:866-673-6275
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
1005360001Medicare ID - Type Unspecified