Provider Demographics
NPI:1437315843
Name:ARLENE E. RICARDO, M.D., P.A.
Entity type:Organization
Organization Name:ARLENE E. RICARDO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-988-8855
Mailing Address - Street 1:7789 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1829
Mailing Address - Country:US
Mailing Address - Phone:713-988-8855
Mailing Address - Fax:713-988-7243
Practice Address - Street 1:7789 SOUTHWEST FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1829
Practice Address - Country:US
Practice Address - Phone:713-988-8855
Practice Address - Fax:713-988-7243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9300208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1221566-01Medicaid
TX1221566-01Medicaid
TX00120XMedicare PIN