Ricardo Bolivar
Infectious Disease
18951 N Memorial Dr
Humble
, Texas 77338-4217
Ricardo Bolivar
Infectious Disease
18951 N Memorial Dr
Humble
, Texas 77338-4217
(281) 292-8696
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Ricardo Bolivar
- Po Box 131224
- The Woodlands, TX
- Zip : 77393-1224
- Fax : (281) 292-8696
- Phone : (281) 893-4376
Second Address
- Ricardo Bolivar
- 18951 N Memorial Dr
- Humble, TX
- Zip : 77338-4217
- Phone : (281) 540-7700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | E7377 | TX |
National Provider Identifier
| NPI | 1053413278 |
|---|---|
| Provider Name | Ricardo Bolivar |
| First Address | The Woodlands, TX 77393-1224 |
| Second Address | Humble, TX 77338-4217 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E04557 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.