# MEDICAL INFECTIOUS DISEASE CONSULTING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770677130
- **Authorized official:** RICARDO BOLIVAR MD (PRESIDENT)
- **Authorized official phone:** (281) 893-4376

## Contact information

- **Practice address:** 18951 N MEMORIAL, HUMBLE, TX 77338-4217
- **Practice address phone:** (281) 540-7700
- **Mailing address:** PO BOX 131224, THE WOODLANDS, TX 77393
- **Mailing address phone:** (281) 893-4376
- **Mailing address fax:** (281) 419-6362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | E7377 | TX | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020