Provider Demographics
NPI:1144695404
Name:BERNARDO, RAMONCITO (FNP-C)
Entity type:Individual
Prefix:
First Name:RAMONCITO
Middle Name:
Last Name:BERNARDO
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:RAMONCITO MIGUEL
Other - Middle Name:
Other - Last Name:BERNARDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5219 CITY BANK PKWY SUITE 35
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3544
Mailing Address - Country:US
Mailing Address - Phone:806-761-0333
Mailing Address - Fax:806-782-0097
Practice Address - Street 1:6809 SLIDE RD STE J
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1517
Practice Address - Country:US
Practice Address - Phone:806-794-9378
Practice Address - Fax:806-799-0691
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily