Provider Demographics
NPI:1417313073
Name:DAVID B. RAMSEY, M.D., P.A.
Entity Type:Organization
Organization Name:DAVID B. RAMSEY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-325-9485
Mailing Address - Street 1:214 SW 26TH AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-8249
Mailing Address - Country:US
Mailing Address - Phone:940-325-9485
Mailing Address - Fax:940-325-4325
Practice Address - Street 1:214 SW 26TH AVE
Practice Address - Street 2:SUITE E
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-8249
Practice Address - Country:US
Practice Address - Phone:940-325-9485
Practice Address - Fax:940-325-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123071602Medicaid
TXE21279Medicare UPIN