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NPI Code Detail

MEDICARE: NICOLA RICCARDO POLIZZOTTO M.D.

MEDICARE:   NICOLA RICCARDO  POLIZZOTTO  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
12084P0800XPsychiatry Physician48953TX

General Provider Information

NPI Number : 1578921243
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLA RICCARDO POLIZZOTTO M.D.
Provider Business Mailing Address
First Line : 2800 S MACGREGOR WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1032
Country : US
Telephone Number : 713-741-7829
Fax Number : 713-741-6909
Provider Business Practice Location Address
First Line : 2800 S MACGREGOR WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1032
Country : US
Telephone Number : 713-741-7829
Fax Number : 713-741-6909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2016
Last Update Date : 01/13/2026

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Directions to “ NICOLA RICCARDO POLIZZOTTO M.D.” Practice Location

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