Individual
JOCELYN RICAFRENTE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K1292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050070527
RAILROAD MEDICARE
TX
01
—
104984301
IN HARRIS MEDICAID
TX
01
—
104984303
OUT OF HARRIS MEDICAID
TX
05
—
14332934
—
LA
01
—
81624S
TX-BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
10/07/2022
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