Organization
RICHARD A REDD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLAN REDD MD (RADIOLOGIST)
(940) 691-9382
Entity
Organization
Contact information
Practice address
2319 BROOK HOLLOW DR, WICHITA FALLS, TX 76308-2206
(806) 355-6593
(806) 352-8774
Mailing address
PO BOX 8337, AMARILLO, TX 79114-8337
(806) 355-6593
(806) 352-8774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F2870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132890809
—
TX
01
—
P00282477
DPS REGISTRATION
TX
Enumeration date
08/28/2007
Last updated
03/04/2010
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