Provider Demographics
NPI:1588652911
Name:RAMIREZ, EDUARDO S (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:S
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 HIDDEN CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-6092
Mailing Address - Country:US
Mailing Address - Phone:281-993-0210
Mailing Address - Fax:281-993-0866
Practice Address - Street 1:500 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4220
Practice Address - Country:US
Practice Address - Phone:281-784-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4978208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045215303Medicaid
TX1588652911OtherTRICARE SOUTH
TX8K8331OtherBC/BS OF TEXAS
TX0452153-01Medicaid
TXP00102939Medicare PIN
TX8K8331OtherBC/BS OF TEXAS
TX8B8242Medicare PIN