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Individual

CHRISTIAN RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
709 W LOUISIANA AVE, MIDLAND, TX 79701-3248
(432) 221-3100
(432) 221-3121
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 221-5971
(432) 221-5981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143759
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407545901
TX
01
AP143759
TBON
TX
Enumeration date
11/29/2019
Last updated
08/12/2022
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