Provider Demographics
NPI:1801018379
Name:RAMSEY ROBBINS, JESSICA AGNES (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:AGNES
Last Name:RAMSEY ROBBINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5700 E I-20 SERVICE RD S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WILLOW PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76008-5115
Mailing Address - Country:US
Mailing Address - Phone:817-489-7337
Mailing Address - Fax:817-489-7302
Practice Address - Street 1:5700 E. INTERSTATE 20 SERVICE RD SOUTH
Practice Address - Street 2:STE 200
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008
Practice Address - Country:US
Practice Address - Phone:817-489-7337
Practice Address - Fax:817-489-7302
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2013-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS6579208000000X
TXN3262208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1801018379OtherBCBS OF TX
TX206341401Medicaid
TX206341401Medicaid