Jose' Ramon Declet II, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01526 Issued in TX

Practice address

4250 Hwy 202
Utmb/Garza Unit
Beeville, TX 78102

Phone

(361) 358-9890

Fax

(361) 362-6654

NPI assigned

Feb 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Jose' Ramon Declet II Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1679963409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HWY 202",
            "address_2": "UTMB",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-9890",
            "fax_number": "361-362-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HWY 202",
            "address_2": "UTMB/GARZA UNIT",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "361-358-9890",
            "fax_number": "361-362-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLET",
        "first_name": "JOSE'",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDCJ STATE PRISON",
            "identifier": "PA01526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE'",
            "last_name": "DECLET",
            "middle_name": "RAMON",
            "prefix": "MR.",
            "suffix": "II",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Crystal Cox, M.ED, LPC, RPT
• Hannah Mae Curry
• Jennifer Lynn Daniels, DC
• Steven Dayton, M.D.
• Bridgett Dean, FNP-C
• Frank Raymond Dehnisch Jr., M.D.
• Erin C Dial, PT
• Miguel Adrian Diaz, DNP, APRN, PMHNP-BC
• DM Rural Health Partners
• Dr. Alvaro E Rolong MD, PLLC

• All providers in Beeville, TX
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.