Individual
DR. RICHARD A URBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-2699
Mailing address
PO BOX 847522, DALLAS, TX 75284-7522
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202607
VA
207P00000X
Emergency Medicine Physician
02007508A
IN
207P00000X
Emergency Medicine Physician
5101016000
MI
207P00000X
Emergency Medicine Physician
P2388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046422
—
OH
05
—
304014903
—
TX
05
—
304014911
—
TX
05
—
304014912
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
8GL019
BCBS
TX
01
—
8GL020
BCBS
TX
01
—
P01773613
RAIL ROAD MEDICARE
TX
01
—
P01784199
RAIL ROAD MEDICARE
TX
Enumeration date
05/25/2007
Last updated
07/02/2024
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