1699734061 NPI number — RICHARDSON PEDIATRIC ASSOCIATES

Table of content: (NPI 1699734061)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699734061 NPI number — RICHARDSON PEDIATRIC ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARDSON PEDIATRIC ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699734061
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1112 N FLOYD RD
Provider Second Line Business Mailing Address:
SUITE 7
Provider Business Mailing Address City Name:
RICHARDSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75080-4243
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-952-0280
Provider Business Mailing Address Fax Number:
972-852-6005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1112 N FLOYD RD
Provider Second Line Business Practice Location Address:
SUITE 7
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75080-4243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-952-0280
Provider Business Practice Location Address Fax Number:
972-852-6005
Provider Enumeration Date:
03/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RANDLES
Authorized Official First Name:
NORAH
Authorized Official Middle Name:
K
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
972-952-0280

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  M2034 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 328989401 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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