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Individual

JONATHAN DAVID RICHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, MHA

Contact information

Practice address
5236 W UNIVERSITY DR STE 2200, MCKINNEY, TX 75071-8113
(866) 406-3376
(469) 406-1160
Mailing address
5236 W UNIVERSITY DR STE 2200, MCKINNEY, TX 75071-8113
(866) 406-3376
(469) 406-1150

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101017631
MI
207N00000X
Dermatology Physician
Primary
P2352
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305417301
TX
01
P01149339
MEDICARE RAILROAD
TX
Enumeration date
06/03/2008
Last updated
03/24/2025
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