Provider Demographics
NPI:1629076096
Name:RAMOS, RAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:540 MADISON OAK DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3943
Mailing Address - Country:US
Mailing Address - Phone:210-614-1600
Mailing Address - Fax:210-614-1606
Practice Address - Street 1:540 MADISON OAK DR
Practice Address - Street 2:SUITE 370
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3943
Practice Address - Country:US
Practice Address - Phone:210-614-1600
Practice Address - Fax:210-614-1606
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2014-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE1239208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20821Medicare UPIN