Provider Demographics
NPI:1467614917
Name:RAMOS, RUDY G (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUDY
Middle Name:G
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9545 KATY FWY
Mailing Address - Street 2:STE. 125
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1412
Mailing Address - Country:US
Mailing Address - Phone:713-973-9591
Mailing Address - Fax:713-973-6898
Practice Address - Street 1:9545 KATY FWY
Practice Address - Street 2:STE. 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1412
Practice Address - Country:US
Practice Address - Phone:713-973-9591
Practice Address - Fax:713-973-6898
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice