Individual
JORGE E RICO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1450 8TH AVE, FORT WORTH, TX 76104-4110
(817) 702-8300
Mailing address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP136000
TX
Other
Enumeration date
02/19/2018
Last updated
12/27/2022
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