| John W. Richard, MD, PLLC | |
|
4604 Sebago Trl Plano TX 75093-3394 | |
| (214) 952-3445 | |
| Not Available |
| Full Name | John W. Richard, MD, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4604 Sebago Trl, Plano, Texas |
| Authorized Official Name and Position | John Wesley Richard (PRESIDENT) |
| Authorized Official Contact | 2149523445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Richard, MD, PLLC 4604 Sebago Trail Plano TX 75093 Ph: (214) 952-3445 | John W. Richard, MD, PLLC 4604 Sebago Trl Plano TX 75093-3394 Ph: (214) 952-3445 |
| NPI Number | 1265894604 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 4789982992 |
|---|---|
| Medicare Enrollment ID | O20160420002006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265894604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | N7580 (Texas) | Primary |
| Provider Name | John W Richard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659581643 PECOS PAC ID: 0648426171 Enrollment ID: I20120815000567 |
| Provider Name | Karen B Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174738678 PECOS PAC ID: 0749328789 Enrollment ID: I20121003000221 |
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