Provider Demographics
NPI:1255964953
Name:RAMIREZ, JOSHUA RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:RYAN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9240 CYPRESS WATERS BLVD APT 4-305
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5059
Mailing Address - Country:US
Mailing Address - Phone:325-340-6143
Mailing Address - Fax:
Practice Address - Street 1:800 W AIRPORT FWY STE 810
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6285
Practice Address - Country:US
Practice Address - Phone:972-392-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor