MEDICARE: DR. RANILO LISING TUAZON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	36284	TX

General Provider Information

NPI Number	:	1285846949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANILO LISING TUAZON D.D.S.

Provider Business Mailing Address
First Line	:	4502 RIVERSTONE BLVD STE 501
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5206
Country	:	US
Telephone Number	:	281-491-3626
Fax Number	:	281-491-3626

Provider Business Practice Location Address
First Line	:	4502 RIVERSTONE BLVD STE 501
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5206
Country	:	US
Telephone Number	:	281-491-3626
Fax Number	:	281-491-3626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	12/09/2025

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