Cristobal, Ricardo
Cristobal, Ricardo is an individual health care provider with primary practice located at 6320 Southwest Blvd Suite #200, Fort Worth TX 76109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Cristobal, Ricardo can be contacted via phone (817) 766-5500.Contact Information
Primary practice address
6320 Southwest Blvd Suite #200
Fort Worth TX 76109
Phone: (817) 766-5500
Fax: (817) 766-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | M9939 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | M9939 | Texas |
Profile Details
| NPI number | 1801059514 |
|---|---|
| LBN Legal business name | Cristobal, Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Feb 15th, 2022 - about 3 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 | 1801059514 | NPPES |
| Texas | Other | 196011402 | CSHCN MEDICAID |
| Texas | Other | P00643338 | CSHCN MEDICAID |
| Texas | MEDICAID | 196011401 | CSHCN MEDICAID |
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