Doctor Name: | EVETTE MARIE RAMIREZ |
NPI Number: | 1154566040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 1128510 |
Business Practice Address: | 2200 Physicians Boulevard Ste D Ennis, TX - 75119 |
Business Phone Number: | 9728781200 |
Business Fax Number: | |
Mailing Address: | Po Box 674154, DALLAS |
State: | TX |
Postal Code: | 752674154 |
Phone Number: | 2143698555 |
Fax Number: | 2143692683 |
NPI Enumeration Date: | 12/08/2008 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 1128510 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |