Individual
DR. RICHARD TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR STE 200, HOUSTON, TX 77057-4817
(713) 620-4000
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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