Individual
MR. RICARDO SALLES PRENDES
Active
Individual
MR. RICARDO SALLES PRENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
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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