Provider Demographics
NPI:1649263021
Name:CREIXELL, RAMON (MD)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:CREIXELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-558-0103
Mailing Address - Fax:281-558-1741
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 121
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-558-0103
Practice Address - Fax:281-558-1741
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4670207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
611444Medicare ID - Type Unspecified
H03317Medicare UPIN