Provider Demographics
NPI:1053548172
Name:TERASAKI, ORELIA RAMIREZ (MD)
Entity type:Individual
Prefix:MRS
First Name:ORELIA
Middle Name:RAMIREZ
Last Name:TERASAKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S RED RIVER EXPY STE D
Mailing Address - Street 2:
Mailing Address - City:BURKBURNETT
Mailing Address - State:TX
Mailing Address - Zip Code:76354-3752
Mailing Address - Country:US
Mailing Address - Phone:940-764-5700
Mailing Address - Fax:940-764-5701
Practice Address - Street 1:208 S RED RIVER EXPY STE D
Practice Address - Street 2:
Practice Address - City:BURKBURNETT
Practice Address - State:TX
Practice Address - Zip Code:76354-3752
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB160232Medicare UPIN