Individual
RICARDO SCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 SAGEBRUSH LN, WAXAHACHIE, TX 75165-1524
(972) 923-0281
(972) 938-0171
Mailing address
175 SAGEBRUSH LN, WAXAHACHIE, TX 75165-1524
(972) 923-0281
(972) 938-0171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G2013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133721403
—
TX
Enumeration date
01/15/2007
Last updated
09/19/2013
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