Individual
MRS. TEAIRRA L RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 SOUTHWEST FWY STE 515, HOUSTON, TX 77027-7364
(816) 447-1694
Mailing address
20722 BRADFORD FOREST DR, CYPRESS, TX 77433-3678
(816) 447-1694
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
TX
Enumeration date
08/10/2020
Last updated
08/10/2020
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