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Organization
JOHN W RICHARDSON MD PA
Active
Organization
JOHN W RICHARDSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W RICHARDSON MD (PRESIDENT)
(940) 627-0013
Entity
Organization
Contact information
Practice address
2301 S FM 51, SUITE 500, DECATUR, TX 76234-3865
(940) 627-0013
(940) 627-1900
Mailing address
2301 S FM 51, SUITE 500, DECATUR, TX 76234-3865
(940) 627-0013
(940) 627-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080QJ
BCBS
TX
05
—
168598401
—
TX
01
—
DC0267
MEDICARE RAILROAD
TX
Enumeration date
06/20/2006
Last updated
05/08/2023
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