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Individual
RICHARD K SHEPPARD
Active
Individual
RICHARD K SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164794302
—
TX
05
—
164794306
—
TX
01
—
8045UH
BCBS
TX
01
—
P01446660
RR
TX
Enumeration date
04/19/2006
Last updated
06/27/2018
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