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Organization

MEDICAL INFECTIOUS DISEASE CONSULTING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO BOLIVAR MD (PRESIDENT)
(281) 893-4376
Entity
Organization

Contact information

Practice address
18951 N MEMORIAL, HUMBLE, TX 77338-4217
(281) 540-7700
Mailing address
PO BOX 131224, THE WOODLANDS, TX 77393
(281) 893-4376
(281) 419-6362

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E7377
TX

Other

Enumeration date
10/02/2006
Last updated
08/22/2020
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