Organization
RICHMOND BONE & JOINT CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KESHA ELLISON (ADMINISTRATION)
(281) 344-1715
Entity
Organization
Contact information
Practice address
1517 THOMPSON RD, RICHMOND, TX 77469-4932
(281) 344-1715
(281) 344-1716
Mailing address
1517 THOMPSON RD, RICHMOND, TX 77469-4932
(281) 344-1715
(281) 344-1716
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095AH
BLUE CROSS BLUE SHIELD
TX
01
—
CH2933
RAILROAD MEDICARE
TX
Enumeration date
07/25/2006
Last updated
02/15/2008
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