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Individual
RICHARD A PAGE
Active
Individual
RICHARD A PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K4977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041CL
BC/BS OF TEXAS PROVIDER
TX
05
—
0298382-01
—
TX
Enumeration date
07/20/2005
Last updated
01/30/2019
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