Individual
JEWELL IRENE RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP100904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109956601
—
TX
05
—
109956605
—
TX
01
—
430027417
RAILROAD MEDICARE
—
01
—
88645C
TX-BLUE SHIELD
—
Enumeration date
04/02/2007
Last updated
02/15/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us