Individual provider Active NPI

Laura Elena Ramirez, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1508469149
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14889 Issued in TX
Practice address
6300 Samuell Blvd Ste 120
Dallas, TX 75228-7100
Phone
(214) 381-1910
Fax
(214) 381-2868
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14889 TX Primary

Addresses

Primary practice location

6300 Samuell Blvd Ste 120
Dallas, TX 75228-7100

Mailing address

6300 Samuell Blvd Ste 120
Dallas, TX 75228-7100
Phone (214) 381-1910

Other practice location 1

2040 N Belt Line Rd Ste 200
Mesquite, TX 75150-5802
Phone (214) 381-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230519002946 TX Practitioner - Physician Assistant 8426414285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Southern Medical Clinic PLLCGroup PAC ID 0840504197, 4 clinicians

Practice addresses (Care Compare)

6300 Samuell Blvd
Suite 120
Dallas, TX 75228-7100
Phone (214) 381-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14889TXMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1508469149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287100",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAMUELL BLVD STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287100",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 N Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751505802",
            "country_code": "US",
            "telephone_number": "214-381-1910",
            "fax_number": "214-381-2868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "LAURA",
        "middle_name": "ELENA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.