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MR. RICARDO SALLES PRENDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478
(832) 655-4141
(713) 457-5188
Mailing address
3515 MORNING COVE LN, KATY, TX 77449-8631
(832) 952-2030

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
363AS0400X
Surgical Physician Assistant
Primary
SA00645
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8JJ618
BCBS - XCITE SURGICAL
TX
01
8JJ629
BCBS - UNIVERSAL SURGICAL ASSISTANTS
TX
01
8JY069
BCBS - UNIVERSAL SURGICAL PARTNERS
TX
01
8LH898
BCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TX
01
8PX800
BCBS - US MSO
TX
01
SA00333
TEXAS MEDICAL BOARD
TX
Enumeration date
12/11/2016
Last updated
04/08/2024
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