Provider Demographics
NPI:1689434318
Name:RAMOS, THALIA MARGARITA
Entity Type:Individual
Prefix:
First Name:THALIA
Middle Name:MARGARITA
Last Name:RAMOS
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 1:12701 N PENNSYLVANIA AVE APT 65
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9414
Mailing Address - Country:US
Mailing Address - Phone:619-552-0510
Mailing Address - Fax:
Practice Address - Street 1:301 W BRITTON RD STE 14530
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-3545
Practice Address - Country:US
Practice Address - Phone:619-552-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist