Provider Demographics
NPI:1083438428
Name:MEQUIABAS, RICA FELINE SOLIS
Entity type:Individual
Prefix:
First Name:RICA FELINE
Middle Name:SOLIS
Last Name:MEQUIABAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 GLENCREST ST APT 6139
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-3032
Mailing Address - Country:US
Mailing Address - Phone:361-229-4784
Mailing Address - Fax:
Practice Address - Street 1:2410 POLK ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-4329
Practice Address - Country:US
Practice Address - Phone:832-973-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist