Provider Demographics
NPI:1871593335
Name:RESSMANN, RONALD JAY (MD)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JAY
Last Name:RESSMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8601 VILLAGE DR
Mailing Address - Street 2:STE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5512
Mailing Address - Country:US
Mailing Address - Phone:210-654-6921
Mailing Address - Fax:210-654-9914
Practice Address - Street 1:8601 VILLAGE DR
Practice Address - Street 2:STE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5512
Practice Address - Country:US
Practice Address - Phone:210-654-6921
Practice Address - Fax:210-654-9914
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD8400207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B25887Medicare UPIN
TXOOCR67Medicare PIN