Individual
DR. RICHARD MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(650) 804-5270
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
142560
CA
207RI0200X
Infectious Disease Physician
A142560
CA
207RI0200X
Infectious Disease Physician
Primary
R9649
TX
Other
Enumeration date
07/11/2018
Last updated
02/07/2019
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