Individual
RICARDO SOUZA LEMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 E 29TH ST STE 123, BRYAN, TX 77802-2699
(979) 776-3850
(979) 776-3890
Mailing address
2801 E 29TH ST STE 123, BRYAN, TX 77802-2699
(979) 776-3850
(979) 776-3890
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J6155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050HH
BLUE CROSS BLUE SHIELD OF TEXAS
TX
05
—
043626302
—
TX
01
—
440003708
MEDICARE RAILROAD
TX
Enumeration date
01/25/2006
Last updated
04/13/2026
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