1437315843 NPI number — ARLENE E. RICARDO, M.D., P.A.

Table of content: (NPI 1437315843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437315843 NPI number — ARLENE E. RICARDO, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARLENE E. RICARDO, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437315843
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7789 SOUTHWEST FWY
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77074-1829
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-988-8855
Provider Business Mailing Address Fax Number:
713-988-7243

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7789 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77074-1829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-988-8855
Provider Business Practice Location Address Fax Number:
713-988-7243
Provider Enumeration Date:
08/05/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RICARDO
Authorized Official First Name:
ARLENE
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PHYSICIAN/OWNER
Authorized Official Telephone Number:
713-988-8855

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  J9300 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1221566-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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