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Organization
RICHMOND MEDICAL GROUP INC
Active
Organization
RICHMOND MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FIDELIA OSIFO-SELORMEY (APRN)
(603) 233-8950
Entity
Organization
Contact information
Practice address
1407 MUSTANG LAKE CT, RICHMOND, TX 77406-7961
(603) 233-8950
Mailing address
1407 MUSTANG LAKE COURT, RICHMOND, TX 77406
(603) 233-8950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568970614
—
NH
Enumeration date
07/21/2020
Last updated
07/21/2020
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