LARESA RIDGE


Address: 9105 N Wayside Dr, Houston, TX 77028-1030
Phone: 2142768665

LARESA RIDGE (NPI# 1831120310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831120310
Entity Type Individual
Full Name LARESA RIDGE
Credential M.D.
Practice Address 9105 N Wayside Dr
Houston
TX 77028-1030
Mailing Address 17330 Lassen Forest Ln
Humble
TX 77346-1550
Practice Telephone 2142768665
Mailing Telephone 2817882615
Enumeration Date 2006-07-05
Last Update Date 2019-11-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine L7535 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 168810301 05
TX BCBS 8P2795 01

Office Location

Street Address 9105 N WAYSIDE DR
City HOUSTON
State TX
Zip Code 77028-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518966050 Abe R. Rice Pharmacist 9105 N Wayside Dr, Houston, TX 77028-1030 2005-07-18
1609309202 Adwoa Darkwa Pharmacist 9105 N Wayside Dr, Houston, TX 77028-1030 2017-04-10
1447430640 Sylvester O. Agbahiwe Pharmacist 9105 N Wayside Dr, Houston, TX 77028-1030 2007-11-06
1356535801 Arthur Wayne Harrison Pharmacist 9105 N Wayside Dr, Houston, TX 77028-1030 2007-08-28
1306057377 Anthony B Jones Social Worker 9105 N Wayside Dr, Houston, TX 77028-1030 2007-05-24
1790907384 Ut Physicians Family Medicine 9105 N Wayside Dr, Houston, TX 77026-1038 2007-05-03
1134145212 Ronald S Winter Family Medicine 9105 N Wayside Dr, Houston, TX 77028-1030 2006-07-14
1740215649 Phuc X Nguyen Family Medicine 9105 N Wayside Dr, Houston, TX 77028-1030 2006-07-11
1174558068 Murali M Kosuri Family Medicine 9105 N Wayside Dr, Houston, TX 77028-1030 2006-07-11
1336174051 Louise A Terrill Family Medicine 9105 N Wayside Dr, Houston, TX 77028-1030 2006-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962920389 Kq Nets Home Health 7981 Little Street, Houston, TX 77028 2017-09-06
1215467980 Ellis Arnette Grimes Nurse Practitioner 3751 South Dairy Ashford Rd, Houston, TX 77028 2017-06-15
1881004471 Quicc Express Mobile Phlebotomy Clinical Medical Laboratory 6724 Kittridge St, Houston, TX 77028 2014-05-05
1215264627 A-tap, Inc Assisted Living Facility 9318 Mesa Drive, Houston, TX 77028 2009-11-05
1508087347 Freddie N Davis Dentist 5534 North Wayside Drive, Houston, TX 77028 2007-05-01
1790817377 A&s Community Development Assisted Living Facility 8211 Dockal Rd, Houston, TX 77028 2007-03-10
1376061796 Kinsley Queen Inc. Chiropractor 7981 Little Street, Houston, TX 77028 2017-09-06
1194973297 Quality Healthcare Center Community Based Residential Treatment Facility, Mental Illness 7829 Venida St, Houston, TX 77028-1016 2008-09-03
1366928418 Ut Physicians Specialty Services Pediatrics 9105 N. Wayside Dr., Houston, TX 77028-1030 2018-07-12
1568695971 Ok Korral Daycare, Inc. Foster Care Agency 9114 N Wayside Dr, Houston, TX 77028-1031 2009-09-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871194670 Priscilla Tehrani Family Medicine 615 North Loop E Unit 100, Houston, TX 77022-5934 2020-11-06
1871100032 Umedly Family Medicine 708 Main St Fl 10, Houston, TX 77002-3246 2020-09-30
1255945010 Steven X Nguyen Inc Family Medicine 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 2020-08-31
1871105023 Health Right Choice Family Medicine 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 2020-08-19
1275145625 Global Health Equity Pllc Family Medicine 1232 Westheimer Rd, Houston, TX 77006-2641 2020-08-18
1083223804 Patricia Nmukoso Enyi Family Medicine 2646 S Loop W Ste 270, Houston, TX 77054-5608 2020-07-28
1972121416 Community Medical Clinic LLC Family Medicine 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 2020-07-10
1164048526 Clinica San Lucas Fuqua Family Medicine 11019 Fuqua St, Houston, TX 77089-2510 2020-06-22
1699397240 Urgent Health Solutions Woodlake Family Medicine 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 2020-05-16
1649899964 Lermnaim LLC Family Medicine 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 2020-04-16
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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