Provider Demographics
NPI:1649642919
Name:RAMOS, ERIC (PA-C)
Entity type:Individual
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First Name:ERIC
Middle Name:
Last Name:RAMOS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-951-8042
Mailing Address - Fax:405-951-8113
Practice Address - Street 1:3300 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-951-8042
Practice Address - Fax:405-951-8113
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2018-03-01
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Provider Licenses
StateLicense IDTaxonomies
OK2597363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical