Individual
RICARDO BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18951 N MEMORIAL DR, HUMBLE, TX 77338-4217
(281) 540-7700
Mailing address
PO BOX 131224, THE WOODLANDS, TX 77393-1224
(281) 893-4376
(281) 292-8696
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E7377
TX
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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