Organization
DR. RICK L HOUDERSHELDT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK L HOUDERSHELDT DO (CEO)
(304) 757-6990
Entity
Organization
Contact information
Practice address
3705 TEAYS VALLEY RD, SUITE 202, HURRICANE, WV 25526-8757
(304) 757-6990
(304) 757-0912
Mailing address
3705 TEAYS VALLEY RD, SUITE 202, HURRICANE, WV 25526-8757
(304) 757-6990
(304) 757-0911
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
789
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084490000
—
WV
Enumeration date
08/06/2008
Last updated
04/01/2020
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