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Jairo Ramirez

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NPI Number Detailed Information

Provider Information:

Name: Jairo Ramirez
Gender: M
Provider License Number If Given: F3587

NPI Information:

NPI: 1003815549
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 3/9/2012

Provider Business Mailing Address:

Address: 8109 FREDERICKSBURG RD PHYSICIAN PRACTICE SERVICES
San Antonio, TX 78229
Phone Number: 2102713203
Fax Number: 2107336983

Provider Business Practice Location Address:

Address: 6800 IH 10 W SUITE 200
San Antonio, TX 78201
Phone Number: 2102713203
Fax Number: 2107336983

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207RC0000X
State: TX

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