Provider Demographics
NPI:1770350621
Name:RAMIREZ, TERESA ARACELY
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ARACELY
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14223 W RICHMOND ST # TX
Mailing Address - Street 2:
Mailing Address - City:NEEDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77461-7879
Mailing Address - Country:US
Mailing Address - Phone:832-946-1462
Mailing Address - Fax:
Practice Address - Street 1:14223 W RICHMOND ST # TX
Practice Address - Street 2:
Practice Address - City:NEEDVILLE
Practice Address - State:TX
Practice Address - Zip Code:77461-7879
Practice Address - Country:US
Practice Address - Phone:832-946-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7P5S2W2246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy