Provider Demographics
NPI:1134412398
Name:AMPARAN, RAMON JR (RN PNP)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:AMPARAN
Suffix:JR
Gender:M
Credentials:RN PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 S OCHOA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-2935
Mailing Address - Country:US
Mailing Address - Phone:915-534-7979
Mailing Address - Fax:
Practice Address - Street 1:721 S OCHOA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-2935
Practice Address - Country:US
Practice Address - Phone:915-534-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX257541363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics