Provider Demographics
NPI:1831184860
Name:BARRENO-CANALES, RAMON (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:BARRENO-CANALES
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 1:9090 GAYLORD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2804
Mailing Address - Country:US
Mailing Address - Phone:713-827-1134
Mailing Address - Fax:713-827-7080
Practice Address - Street 1:970 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-461-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3036207L00000X, 207LP2900X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1526801Medicaid
TX89681JOtherBCBS
TXK0046800OtherDPS
TX050058031OtherRAILROAD MEDICARE
LA1526801Medicaid
TX129024902Medicaid
TX129024902Medicaid
TX050058031OtherRAILROAD MEDICARE
TXK0046800OtherDPS