| Edid Ramos, Md, Pa | |
|
315 E Pleasant Run Rd Desoto TX 75115-3933 | |
| (972) 228-4888 | |
| (972) 228-3336 |
| Full Name | Edid Ramos, Md, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 E Pleasant Run Rd, Desoto, Texas |
| Authorized Official Name and Position | Edid G. Ramos Rivas (OWNER) |
| Authorized Official Contact | 9722284888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edid Ramos, Md, Pa 315 E Pleasant Run Rd Desoto TX 75115-3933 Ph: (972) 228-4888 | Edid Ramos, Md, Pa 315 E Pleasant Run Rd Desoto TX 75115-3933 Ph: (972) 228-4888 |
| NPI Number | 1457653669 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 11/19/2010 |
| Medicare PECOS PAC ID | 9335326412 |
|---|---|
| Medicare Enrollment ID | O20110527000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457653669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J9291 (Texas) | Primary |
| Provider Name | Edid G. Ramos Rivas |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255480141 PECOS PAC ID: 2365427945 Enrollment ID: I20040618001071 |
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