| Dr. Richard J. Perry Do Pa | |
|
1630 W Chapman Dr Sanger TX 76266-9054 | |
| (940) 458-4774 | |
| (940) 458-0212 |
| Full Name | Dr. Richard J. Perry Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1630 W Chapman Dr, Sanger, Texas |
| Authorized Official Name and Position | Richard J Perry (PHYSICIAN) |
| Authorized Official Contact | 9404584774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Richard J. Perry Do Pa Po Box 249 Sanger TX 76266-0249 Ph: (940) 458-4774 | Dr. Richard J. Perry Do Pa 1630 W Chapman Dr Sanger TX 76266-9054 Ph: (940) 458-4774 |
| NPI Number | 1033114830 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 08/06/2008 |
| Medicare PECOS PAC ID | 6901973205 |
|---|---|
| Medicare Enrollment ID | O20080929000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033114830 | NPI | - | NPPES |
| 121091601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J0193 (Texas) | Primary |
| Provider Name | Richard J Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689687360 PECOS PAC ID: 7012084312 Enrollment ID: I20080929000686 |
Sanger Medical Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 W Chapman Dr, Sanger, TX 76266 Phone: 940-458-3400 Fax: 940-458-3431 |