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Organization
RICHARD L. VERA MD, PA
Active
Organization
RICHARD L. VERA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L VERA MD (OWNER)
(817) 421-0279
Entity
Organization
Contact information
Practice address
1615 LANCASTER DR, STE #150, GRAPEVINE, TX 76051-2111
(817) 421-0279
(817) 416-7490
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J1583
TX
Other
Enumeration date
10/03/2006
Last updated
03/10/2011
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