Individual
DR. RICHARD TREADWELL
Active
Individual
DR. RICHARD TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137419101
—
TX
05
—
13741912
—
TX
01
—
8AW314
BLUE CROSS BLUE SHIELD
TX
01
—
8CB138
BLUE CROSS BLUE SHIED
TX
01
—
P00779517
MEDICARE RAILROAD
TX
01
—
P00843041
RAILROAD MEDICARE
TX
Enumeration date
08/02/2005
Last updated
09/28/2010
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