Individual
DR. CLIFF M RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2728 BABCOCK ROAD, PATH DEPT, SAN ANTONIO, TX 78229
(210) 705-6463
(210) 705-6488
Mailing address
9600 DATAPOINT DR, SAN ANTONIO, TX 78229-2028
(210) 892-3700
(210) 614-4659
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G3731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00RM40
MEDICARE
—
05
—
134208105
—
TX
Enumeration date
10/11/2005
Last updated
04/12/2012
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