Individual
RICARDO TLMT LASIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20527 FM 1093 RD, B202, RICHMOND, TX 77407-9514
(832) 428-7455
Mailing address
1622 GRAYSON LAKES BLVD, KATY, TX 77494-5857
(832) 428-7455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011526
TX
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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