Provider Demographics
NPI:1285613166
Name:RAMIREZ, MANUEL RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:RAMON
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9080 HARRY HINES BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235
Mailing Address - Country:US
Mailing Address - Phone:214-637-0887
Mailing Address - Fax:214-637-0886
Practice Address - Street 1:9080 HARRY HINES BLVD
Practice Address - Street 2:STE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235
Practice Address - Country:US
Practice Address - Phone:214-637-0887
Practice Address - Fax:214-637-0886
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2209207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
O67572Medicare UPIN
TX00TF51Medicare ID - Type Unspecified
TXG2209Medicare ID - Type Unspecified