Individual
LAUREN RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST, MSB 1.150, HOUSTON, TX 77030-1501
(713) 500-6500
Mailing address
6431 FANNIN ST STE 450, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q3279
TX
207RR0500X
Rheumatology Physician
Primary
Q3279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346789601
—
TX
Enumeration date
07/15/2012
Last updated
03/05/2024
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