# RICHARD L. VERA MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932293602
- **Authorized official:** RICHARD L VERA MD (OWNER)
- **Authorized official phone:** (817) 421-0279

## Contact information

- **Practice address:** 1615 LANCASTER DR, STE \#150, GRAPEVINE, TX 76051-2111
- **Practice address phone:** (817) 421-0279
- **Practice address fax:** (817) 416-7490
- **Mailing address:** 804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907
- **Mailing address phone:** (800) 394-4445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J1583 | TX | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 03/10/2011