Individual
MR. RICARDO HONORATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5857 TIMBERGATE DR, CORPUS CHRISTI, TX 78414-4237
(361) 994-0905
Mailing address
6605 KODIAK DR, CORPUS CHRISTI, TX 78414-5901
(361) 288-9828
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1075976
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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