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NPI Code Detail

MEDICARE: RICARDO NOEL MEJIAS GONZALEZ LCSW

MEDICARE: RICARDO NOEL MEJIAS GONZALEZ LCSW
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
11041C0700XClinical Social Worker104365TX

General Provider Information

NPI Number : 1144063587
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO NOEL MEJIAS GONZALEZ LCSW
Provider Business Mailing Address
First Line : 15500 VOSS RD STE 200-646
Second Line :
City : SUGAR LAND
State : TX
Zip : 77498-4603
Country : US
Telephone Number : 713-858-2854
Fax Number :
Provider Business Practice Location Address
First Line : 5522 LONE STAR PKWY STE 303
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78253-6722
Country : US
Telephone Number : 713-858-2854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2024
Last Update Date : 06/22/2026

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