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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