MEDICARE: DR. RICARDO CHICA DPM

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	213E00000X	Podiatrist	2286	TX
2	213ES0103X	Foot & Ankle Surgery Podiatrist	2286	TX

General Provider Information

NPI Number	:	1548672850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO CHICA DPM

Provider Business Mailing Address
First Line	:	8135 FOREST LN # 515057
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 BEE CAVES RD STE 202
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5254
Country	:	US
Telephone Number	:	512-328-8900
Fax Number	:

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

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	03/07/2024

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