Provider Demographics
NPI:1972550366
Name:LEMUS, RICARDO ALBERTO (DO)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:ALBERTO
Last Name:LEMUS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3355 BOCA CHICA BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4201
Mailing Address - Country:US
Mailing Address - Phone:956-542-2410
Mailing Address - Fax:956-542-2470
Practice Address - Street 1:3355 BOCA CHICA BLVD STE 1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4201
Practice Address - Country:US
Practice Address - Phone:956-542-2410
Practice Address - Fax:956-542-2470
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0793207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1812661-01Medicaid
TX8G6739Medicare PIN
TX1812661-01Medicaid