Individual
DR. RICHARD LUIS VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 LANCASTER DR, SUITE #150, GRAPEVINE, TX 76051-2111
(817) 421-0279
(817) 416-7490
Mailing address
1615 LANCASTER DR, SUITE #150, GRAPEVINE, TX 76051-2111
(817) 421-0279
(817) 416-7490
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
J1583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053-01
—
TX
Enumeration date
05/10/2006
Last updated
01/15/2008
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