Active NPI
Ricardo S. Lemos MD PA
- Clinic/Center
- Bryan, TX
National Provider Identifier
1104873983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- J6155
- Legal business name
- RICARDO S. LEMOS MD PA
- Practice address
- 2716 Osler Blvd
Bryan, TX 77802-2517 - Phone
- (979) 776-3850
- Fax
- (979) 776-3890
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricardo Souza Lemos, MD
- Title
- President
- Phone
- (979) 776-3850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | J6155 | TX | Primary |
Addresses
Primary practice location
2716 Osler Blvd
Bryan, TX 77802-2517
Mailing address
2716 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-3850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050HH | Other | TX | BLUE CROSS/BLUE SHIELD |
| 148831402 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2716 Osler Blvd
Bryan, TX 77802
Phone (972) 555-8899
2801 E 29th St
Ste 123
Bryan, TX 77802
Phone (409) 776-0088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1104873983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 OSLER BLVD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022517",
"telephone_number": "979-776-3850",
"fax_number": "979-776-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 OSLER BLVD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022517",
"telephone_number": "979-776-3850",
"fax_number": "979-776-3890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO S. LEMOS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "LEMOS",
"authorized_official_first_name": "RICARDO",
"authorized_official_middle_name": "SOUZA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-776-3850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "J6155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0050HH",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148831402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.