Provider Demographics
NPI:1689138554
Name:RAMIREZ, ALYSSA KAYLEEN
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KAYLEEN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25287 TWIN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-7751
Mailing Address - Country:US
Mailing Address - Phone:832-423-2274
Mailing Address - Fax:
Practice Address - Street 1:25287 TWIN OAKS DR
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-7751
Practice Address - Country:US
Practice Address - Phone:832-423-2274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer