Provider Demographics
NPI:1770965485
Name:TOVAR, RICARDO (RNC)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:TOVAR
Suffix:
Gender:M
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 MORELAND DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9132
Mailing Address - Country:US
Mailing Address - Phone:956-968-3000
Mailing Address - Fax:956-968-3009
Practice Address - Street 1:3501 MORELAND DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9132
Practice Address - Country:US
Practice Address - Phone:956-968-3000
Practice Address - Fax:956-968-3000
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632994163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health