Organization
RICHARD D DILLMAN, JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D DILLMAN JR. MD (SOLE PROPRIETOR)
(806) 353-1800
Entity
Organization
Contact information
Practice address
2 CARE CIR, AMARILLO, TX 79124-2118
(806) 353-1800
Mailing address
2 CARE CIR, AMARILLO, TX 79124-2118
(806) 353-1800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G3294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00024562
NEW MEXICO MEDICAID
NM
05
—
183988801
—
TX
Enumeration date
07/27/2006
Last updated
02/03/2009
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