Provider Demographics
NPI:1265759278
Name:RAMIREZ, KITTY (PA)
Entity type:Individual
Prefix:
First Name:KITTY
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KITTY
Other - Middle Name:
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:6421 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4702
Practice Address - Country:US
Practice Address - Phone:817-263-7500
Practice Address - Fax:817-423-4140
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06356363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant