Healthcare Provider Details

I. General information

NPI: 1083438428
Provider Name (Legal Business Name): RICA FELINE SOLIS MEQUIABAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 POLK ST STE 100
HOUSTON TX
77003-4329
US

IV. Provider business mailing address

8801 GLENCREST ST APT 6139
HOUSTON TX
77061-3032
US

V. Phone/Fax

Practice location:
  • Phone: 832-973-4879
  • Fax:
Mailing address:
  • Phone: 361-229-4784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number75063
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: