Provider Demographics
NPI:1548209372
Name:BILLESCAS, RAMON GREGORIO (PT)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:GREGORIO
Last Name:BILLESCAS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4323
Mailing Address - Country:US
Mailing Address - Phone:956-358-3223
Mailing Address - Fax:956-630-0836
Practice Address - Street 1:600 N CYNTHIA ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8702
Practice Address - Country:US
Practice Address - Phone:956-631-2265
Practice Address - Fax:956-630-0836
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1161190225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics