Jonathan Richard, M.d., P.a. | |
5009 Thompson Ter #102 Colleyville TX 76034-5850 | |
(817) 581-6800 | |
(817) 581-6080 |
Full Name | Jonathan Richard, M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 5009 Thompson Ter, Colleyville, Texas |
Authorized Official Name and Position | Jonathan Richard (CEO) |
Authorized Official Contact | 8175816800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathan Richard, M.d., P.a. 5009 Thompson Ter #102 Colleyville TX 76034-5850 Ph: (817) 581-6800 | Jonathan Richard, M.d., P.a. 5009 Thompson Ter #102 Colleyville TX 76034-5850 Ph: (817) 581-6800 |
NPI Number | 1114334919 |
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Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114334919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G3730 (Texas) | Primary |
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