Individual
DR. RICHARD SCHELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DOG7582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089KJ
BCBS
TX
01
—
10029312
AMERIGROUP
TX
05
—
132273707
—
TX
01
—
DOG7582
LIC NUMBER
TX
01
—
P00110017
PALMETTO
TX
Enumeration date
12/21/2006
Last updated
01/21/2014
Update your record
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