MEDICARE: MEDICUS INTEGRATED HEALTHCARE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	363L00000X	Nurse Practitioner
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
5	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1477495182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICUS INTEGRATED HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	5625 CYPRESS CREEK PKWY STE 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4212
Country	:	US
Telephone Number	:	832-208-8311
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 CYPRESS CREEK PKWY STE 504
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4212
Country	:	US
Telephone Number	:	832-208-8311
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	RYAN NOEL DATO LARROZA
Credential	:	MSN, RN
Telephone Number	:	773-946-6068

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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