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
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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