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Mike P Ricke, LAT
Student in an Organized Health Care Education/Training Program in College Station, Texas
NPI 1225414535

Mike P Ricke is a Student in an Organized Health Care Education/Training Program based in College Station, TX. Mike P Ricke practices in College Station, TX and has the professional credentials of LAT. The NPI Number for Mike P Ricke is 1225414535 and holds a License No. 700 (Texas).

The current practice location address for Mike P Ricke is 1228 Tamu St, College Station, TX and can be reached out via phone at 979-845-9513 and via fax at 979-862-1791.

Location: 1228 Tamu St, College Station, TX, 77843-1228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225414535
Provider Name
Mike P Ricke
Credential
LAT
Provider Entity Type
Individual
Gender
Male
Address
1228 Tamu St, College Station, TX, 77843-1228
Phone Number
979-845-9513
Fax Number
979-862-1791
Provider Enumeration Date
08/10/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1228 Tamu St
City
College Station
State
Texas
Zip
77843-1228
Phone Number
979-845-9513
Fax Number
979-862-1791
person
Provider Business Mailing Address Details
Address
1228 Tamu St
City
College Station
State
Texas
Zip
77843-1228
Phone Number
979-845-9513
Fax Number
979-862-1791
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
700 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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