Camacho, Ricardo David
Camacho, Ricardo David is an individual health care provider with primary practice located at 819 Water St Ste 300 , Kerrville TX 78028-5330. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Camacho, Ricardo David can be contacted via phone (830) 258-5430.Contact Information
Primary practice address
819 Water St Ste 300
Kerrville TX 78028-5330
Phone: (830) 258-5430
Fax: (830) 792-5771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9687 | Texas |
Profile Details
| NPI number | 1184802514 |
|---|---|
| LBN Legal business name | Camacho, Ricardo David |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2008 |
| Last updated | Feb 7th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184802514 | NPPES |
| Texas | Other | 9687 | LCDC LICENSE |
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