Provider Demographics
NPI:1972367175
Name:FALCON MARTINEZ, RAMON LAZARO SR
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:LAZARO
Last Name:FALCON MARTINEZ
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13180 FM 529 RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-2652
Mailing Address - Country:US
Mailing Address - Phone:210-549-4550
Mailing Address - Fax:
Practice Address - Street 1:447 WEST HILDELBRAND AVE
Practice Address - Street 2:101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-7821
Practice Address - Country:US
Practice Address - Phone:210-719-7601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013455363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily