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Organization
RICHARDSON PHYSICIAN ALLIANCE
Active
Organization
RICHARDSON PHYSICIAN ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M SIMPSON (VP CFO)
(972) 498-4700
Entity
Organization
Contact information
Practice address
401 W CAMPBELL RD, ATTN: SHIRLEY BUTLER, RICHARDSON, TX 75080-3416
(972) 498-4700
(972) 498-4883
Mailing address
401 W CAMPBELL RD, ATTN: SHIRLEY BUTLER, RICHARDSON, TX 75080-3416
(972) 498-4700
(972) 498-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155154101
—
TX
01
—
CK7047
RR MEDICARE
TX
Enumeration date
05/30/2006
Last updated
06/13/2011
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