Individual
RICHARD J FETCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
422 HAMPTON WAY, SHAVANO PARK, TX 78249-2070
(210) 410-2497
Mailing address
422 HAMPTON WAY, SHAVANO PARK, TX 78249-2070
(210) 410-2497
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G2131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128682505
—
TX
Enumeration date
10/21/2005
Last updated
03/24/2025
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