| Sue Ellen Richardson, Dds, Inc | |
|
7000 Fannin St Suite 1660 Houston TX 77030-5400 | |
| (713) 796-9600 | |
| Not Available |
| Full Name | Sue Ellen Richardson, Dds, Inc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 7000 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Sue Ellen Richardson (OWNER) |
| Authorized Official Contact | 7137969600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Ellen Richardson, Dds, Inc 7000 Fannin St Suite 1660 Houston TX 77030-5400 Ph: (713) 796-9600 | Sue Ellen Richardson, Dds, Inc 7000 Fannin St Suite 1660 Houston TX 77030-5400 Ph: (713) 796-9600 |
| NPI Number | 1356626758 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 07/13/2020 |
| Medicare PECOS PAC ID | 6800068743 |
|---|---|
| Medicare Enrollment ID | O20111018000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356626758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12776 (Texas) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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