Cardoso, Richard

Cardoso, Richard is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Cardoso, Richard can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21380 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 27508 Texas

Profile Details

NPI number 1861453961
LBN Legal business name Cardoso, Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861453961 NPPES
Texas Other 888D79 BCBS - MDACC
Texas MEDICAID 286092601 (MDACC) BCBS - MDACC
Texas MEDICAID 1301071 BCBS - MDACC

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