Provider Demographics
NPI:1801691506
Name:RAMIREZ, RITA MARIE (LAC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 BETTIE MAE WAY APT 4104
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-2221
Mailing Address - Country:US
Mailing Address - Phone:972-342-2741
Mailing Address - Fax:
Practice Address - Street 1:104 BETTIE MAE WAY APT 4104
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-2221
Practice Address - Country:US
Practice Address - Phone:972-342-2741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02935171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist