Provider Demographics
NPI:1669700464
Name:RONALD J RESSMANN M.D.P.A.
Entity type:Organization
Organization Name:RONALD J RESSMANN M.D.P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:RESSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MDPA
Authorized Official - Phone:210-654-6921
Mailing Address - Street 1:8601 VILLAGE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5512
Mailing Address - Country:US
Mailing Address - Phone:210-654-6921
Mailing Address - Fax:210-654-9914
Practice Address - Street 1:8601 VILLAGE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5512
Practice Address - Country:US
Practice Address - Phone:210-654-6921
Practice Address - Fax:210-654-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8400207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25887Medicare UPIN