Provider Demographics
NPI:1588762348
Name:RAMOS, MARIE ANTONETTE A (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE ANTONETTE
Middle Name:A
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2460 N IH 35 E STE 100
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5267
Mailing Address - Country:US
Mailing Address - Phone:469-800-9500
Mailing Address - Fax:469-800-9510
Practice Address - Street 1:2460 N IH 35 E STE 100
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5267
Practice Address - Country:US
Practice Address - Phone:469-800-9500
Practice Address - Fax:469-800-9510
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9625208M00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA41387OtherWELLMARK
IA0243709Medicaid
IA41387OtherWELLMARK
IAH39077Medicare UPIN