Individual
RICARDO E JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
1 BAYLOR PLZ, MS BCM350, HOUSTON, TX 77030-3411
(713) 797-7588
(713) 798-4089
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
33809
IA
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
P9604
TX
2084N0400X
Neurology Physician
33809
IA
2084N0400X
Neurology Physician
P9604
TX
2084P0800X
Psychiatry Physician
33809
IA
2084P0800X
Psychiatry Physician
P9604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264614
—
IA
05
—
340930201
—
TX
01
—
46887
WELLMARK BCBS
IA
Enumeration date
09/20/2005
Last updated
04/04/2016
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