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1407842032

NPI Code Detail

MEDICARE: RICARDO E JORGE MD

MEDICARE: RICARDO E JORGE MD

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	2084N0400X	Neurology Physician	33809	IA
2	2084P0800X	Psychiatry Physician	33809	IA
3	2084P0800X	Psychiatry Physician	P9604	TX
4	2084N0400X	Neurology Physician	P9604	TX
5	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician	P9604	TX
6	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician	33809	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	46887	OTHER	IA	WELLMARK BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407842032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO E JORGE MD

Provider Business Mailing Address
First Line	:	1 BAYLOR PLZ
Second Line	:	MS BCM350
City	:	HOUSTON
State	:	TX
Zip	:	77030-3411
Country	:	US
Telephone Number	:	713-797-7588
Fax Number	:	713-798-4089

Provider Business Practice Location Address
First Line	:	2002 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4211
Country	:	US
Telephone Number	:	713-791-1414
Fax Number	:

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	04/04/2016

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Practice Location Address:

2002 HOLCOMBE BLVD
HOUSTON, TX
77030-4211

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Practice Fax:

1235865890 — DR. LINDSEY ROMERO PHD
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1376541086 — MS. ELIZABETH MARBACH HOPKINS RPH, M.S.
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1265433809 — DR. LISA JEAN MILLER PHARM.D.
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Practice Fax:

1881696250 — DR. NICOLE LYNN MCMASTER-BAXTER PHARM.D., BCPS
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77030-4211

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1205820446 — DR. BRUCE LOYAL EHNI MD
Practice Location Address:

2002 HOLCOMBE BLVD , 580-112 NEUROSURGERY
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77030-4211

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Directions to “ RICARDO E JORGE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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