Individual
MARK R RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
23561 HIGHWAY 59, PORTER, TX 77365-4991
(281) 354-6993
Mailing address
23561 HIGHWAY 59, PORTER, TX 77365-4991
(281) 354-6993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4204TG
TX
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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