Mark R Richardson Rph Od Pc | |
3103 Fm 1960 Rd W, Suite V, Humble, TX 77338-3382 | |
(281) 443-0340 | |
(281) 443-0340 |
Full Name | Mark R Richardson Rph Od Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3103 Fm 1960 Rd W, Humble, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407183098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4204TG (Texas) | Primary |
Provider Name | Mark R Richardson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033214457 PECOS PAC ID: 5395880264 Enrollment ID: I20100303000275 |
Mailing Address | Practice Location Address |
---|---|
Mark R Richardson Rph Od Pc 3103 Fm 1960 Rd W, Suite V, Humble, TX 77338-3382 Ph: (281) 443-0340 | Mark R Richardson Rph Od Pc 3103 Fm 1960 Rd W, Suite V, Humble, TX 77338-3382 Ph: (281) 443-0340 |
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