Mr Stephen Charles Richardson Ii, FNP | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-1148 | |
Not Available |
Full Name | Mr Stephen Charles Richardson Ii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679867691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP120442 (Texas) | Primary |
Entity Name | Vpa Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
Entity Name | Athena Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20221010000237 |
Entity Name | Verdure Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801495940 PECOS PAC ID: 3971917931 Enrollment ID: O20230110002393 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen Charles Richardson Ii, FNP 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-1148 | Mr Stephen Charles Richardson Ii, FNP 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-1148 |
Cheryl Anne Collins, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Aline Noelle Ulloa, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2798 | |
Mrs. Diane Marie Zier, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-808-2479 | |
Mrs. Lisa R Abbott, APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-808-2457 | |
Mrs. Autum Fabre Simmons, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Schofield Rd, Jbsa Ft Sam Houston, TX 78234 Phone: 757-606-4573 | |
Cristina Sarro, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4141 | |
Ms. Tina Lashaun Skinner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-9271 |