Provider Demographics
NPI:1649559030
Name:RAMSEY, BOBBY J (ATP)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:J
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:WAKE VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75501-5775
Mailing Address - Country:US
Mailing Address - Phone:903-831-7424
Mailing Address - Fax:903-831-2384
Practice Address - Street 1:805 KINGS WAY
Practice Address - Street 2:
Practice Address - City:WAKE VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75501-5775
Practice Address - Country:US
Practice Address - Phone:903-831-7424
Practice Address - Fax:903-831-2384
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXATP3803332BC3200X, 247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment