Peter E Ramirez, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Shavano Park, TX
NPI 1013987239 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1013987239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- J0213 (TX)
- Practice address
- 4085 De Zavala Rd
Suite 200
Shavano Park, TX 78249-2084 - Phone
- (210) 558-6288
- Fax
- (210) 558-6289
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | J0213 | TX | Yes |
Addresses
Primary practice location
4085 De Zavala Rd
Suite 200
Shavano Park, TX 78249-2084
Mailing address
PO Box 681149
San Antonio, TX 78268-1149
Phone (210) 558-6288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103340903 | Medicaid | TX |
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All providers in Shavano Park, TX · Anatomic Pathology & Clinical Pathology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.