Provider Demographics
NPI:1255411484
Name:MARIA C. RAMIREZ-NIETO M.D., P.A.
Entity type:Organization
Organization Name:MARIA C. RAMIREZ-NIETO M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CMOM, CMC, CMIS
Authorized Official - Phone:281-398-9711
Mailing Address - Street 1:P.O. BOX 79308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77279-9308
Mailing Address - Country:US
Mailing Address - Phone:281-398-9711
Mailing Address - Fax:281-398-9641
Practice Address - Street 1:777 S FRY RD
Practice Address - Street 2:SUITE 108
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2244
Practice Address - Country:US
Practice Address - Phone:281-398-9711
Practice Address - Fax:281-398-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0801607 01Medicaid
TX130019740OtherRAILROAD MEDICARE
TX4540550001OtherMEDICARE DME
TX00216KMedicare PIN