Provider Demographics
NPI:1457535213
Name:RAMA, MUNZOOR AHMAD (DIRECTOR)
Entity Type:Individual
Prefix:
First Name:MUNZOOR
Middle Name:AHMAD
Last Name:RAMA
Suffix:
Gender:M
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 DEMOSS
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-778-9944
Mailing Address - Fax:713-778-9933
Practice Address - Street 1:6565 DEMOSS
Practice Address - Street 2:103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3532
Practice Address - Country:US
Practice Address - Phone:713-778-9944
Practice Address - Fax:713-778-9933
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00317R208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00317RMedicare PIN