Provider Demographics
NPI:1396073029
Name:RAMIL JUMAO-AS, PLLC
Entity type:Organization
Organization Name:RAMIL JUMAO-AS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUMAO-AS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-951-1110
Mailing Address - Street 1:3303 ROGERS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-3688
Mailing Address - Country:US
Mailing Address - Phone:210-951-1110
Mailing Address - Fax:210-520-5232
Practice Address - Street 1:3303 ROGERS RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3688
Practice Address - Country:US
Practice Address - Phone:210-951-1110
Practice Address - Fax:210-610-5377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280788501Medicaid
TX280788501Medicaid