Provider Demographics
NPI:1821583493
Name:RAMIREZ, ALEXYSS NICOLE
Entity Type:Individual
Prefix:
First Name:ALEXYSS
Middle Name:NICOLE
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 1:1514 ENNIS JOSLIN RD APT 325
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2107
Mailing Address - Country:US
Mailing Address - Phone:979-618-0439
Mailing Address - Fax:
Practice Address - Street 1:1514 ENNIS JOSLIN RD APT 325
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2107
Practice Address - Country:US
Practice Address - Phone:979-618-0439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX355232522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer