Provider Demographics
NPI:1912213695
Name:RAMON, CLAUDIA CUELLAR (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:CUELLAR
Last Name:RAMON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:CLAUDIA
Other - Middle Name:ELIZA
Other - Last Name:CUELLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8441 OAK THICKET
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-3646
Mailing Address - Country:US
Mailing Address - Phone:210-698-5035
Mailing Address - Fax:
Practice Address - Street 1:24165 IH 10 W STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1161
Practice Address - Country:US
Practice Address - Phone:210-687-1094
Practice Address - Fax:210-687-1191
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist