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Individual
STEPHEN GUESS RICHARDSON
Active
Individual
STEPHEN GUESS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P3805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339722601
—
TX
01
—
36089YMG2
MEDICARE
—
01
—
P01390909
RR MEDICARE
—
Enumeration date
03/27/2010
Last updated
07/06/2021
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