Provider Demographics
NPI:1881988434
Name:ESPINOSA, RAMIRO ALEJANDRO
Entity type:Individual
Prefix:
First Name:RAMIRO
Middle Name:ALEJANDRO
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24608 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3386
Mailing Address - Country:US
Mailing Address - Phone:281-848-9049
Mailing Address - Fax:
Practice Address - Street 1:24608 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3386
Practice Address - Country:US
Practice Address - Phone:281-665-8552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2024-03-13
Deactivation Date:2024-03-07
Deactivation Code:
Reactivation Date:2024-03-12
Provider Licenses
StateLicense IDTaxonomies
246ZS0410X
TX1141494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11-154OtherSURGICAL ASSISTANT CERTIFICATION
TX1141494OtherFAMILY NURSE PRACTITIONER