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Individual
ROBERTA JO RICHARDS
Active
Individual
ROBERTA JO RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
453393
TX
363LF0000X
Family Nurse Practitioner
Primary
453393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1637787-01
—
TX
Enumeration date
08/10/2005
Last updated
11/23/2010
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