Provider Demographics
NPI:1609512177
Name:RAMIREZ, ELIZABETH MENDEZ (AG-ACNP-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MENDEZ
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:AG-ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13018 COUNTRY TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2327
Mailing Address - Country:US
Mailing Address - Phone:720-273-9679
Mailing Address - Fax:
Practice Address - Street 1:15420 NACOGDOCHES RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1106
Practice Address - Country:US
Practice Address - Phone:210-767-3870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP000000363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care