Provider Demographics
NPI:1992143549
Name:RAMIREZ, PHILIP U (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:U
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1601 E DEBBIE LN STE 2109
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4130
Mailing Address - Country:US
Mailing Address - Phone:817-473-9125
Mailing Address - Fax:817-473-9126
Practice Address - Street 1:1601 E DEBBIE LN STE 2109
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4130
Practice Address - Country:US
Practice Address - Phone:817-473-9125
Practice Address - Fax:817-473-9126
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ3275207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine