MEDICARE: DR. RONALD J. NEGRICH M.D.

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	207K00000X	Allergy & Immunology Physician	Q5877	TX

General Provider Information

NPI Number	:	1376546655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J. NEGRICH M.D.

Provider Business Mailing Address
First Line	:	10740 N GESSNER RD
Second Line	:	STE 310
City	:	HOUSTON
State	:	TX
Zip	:	77064-1240
Country	:	US
Telephone Number	:	281-897-0416
Fax Number	:	281-890-8908

Provider Business Practice Location Address
First Line	:	915 GESSNER RD
Second Line	:	STE. 225
City	:	HOUSTON
State	:	TX
Zip	:	77024-2527
Country	:	US
Telephone Number	:	713-467-5787
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/05/2021

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