Organization
RICARDO S. LEMOS MD PA
Active
Organization
RICARDO S. LEMOS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO SOUZA LEMOS MD (PRESIDENT)
(979) 776-3850
Entity
Organization
Contact information
Practice address
2716 OSLER BLVD, BRYAN, TX 77802-2517
(979) 776-3850
(979) 776-3890
Mailing address
2716 OSLER BLVD, BRYAN, TX 77802-2517
(979) 776-3850
(979) 776-3890
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
J6155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050HH
BLUE CROSS/BLUE SHIELD
TX
05
—
148831402
—
TX
Enumeration date
05/27/2006
Last updated
07/14/2008
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