Individual
RICARDO TABOADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 WILLIAMS DR, CORPUS CHRISTI, TX 78412-4947
(361) 854-1910
(361) 884-1555
Mailing address
65 MEMORIAL RD, SUITE 435, WEST HARTFORD, CT 06107-2434
(860) 696-2840
(860) 696-2845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
26467
PR
207LP2900X
Pain Medicine (Anesthesiology) Physician
49915
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
U0664
TX
Other
Enumeration date
08/10/2007
Last updated
04/05/2024
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