| Avanta Health Professionals, P A | |
|
1302 N Shepherd Dr Houston TX 77008-3752 | |
| (713) 885-9899 | |
| (713) 885-9871 |
| Full Name | Avanta Health Professionals, P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 1302 N Shepherd Dr, Houston, Texas |
| Authorized Official Name and Position | Antonio Jose Ramos (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7138859899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanta Health Professionals, P A 1302 N Shepherd Dr Houston TX 77008-3752 Ph: (713) 885-9899 | Avanta Health Professionals, P A 1302 N Shepherd Dr Houston TX 77008-3752 Ph: (713) 885-9899 |
| NPI Number | 1740210483 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 1456442995 |
|---|---|
| Medicare Enrollment ID | O20070813000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740210483 | NPI | - | NPPES |
| 2044420454001 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K9400 (Texas) | Primary |
| Provider Name | Antonio J Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063424992 PECOS PAC ID: 7113917014 Enrollment ID: I20040513000803 |
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