Provider Demographics
NPI:1528771607
Name:RIBE BERNAL, LUCAS (MD)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:
Last Name:RIBE BERNAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7174
Mailing Address - Country:US
Mailing Address - Phone:713-853-5166
Mailing Address - Fax:
Practice Address - Street 1:27700 NORTHWEST FWY, SUITE 350
Practice Address - Street 2:CYPRESS
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7749
Practice Address - Country:US
Practice Address - Phone:713-486-5139
Practice Address - Fax:713-512-7203
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX484812086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery