Individual
DR. RICHARD SCHELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3904 LOST CREEK BLVD, ALEDO, TX 76008-3656
(817) 244-0904
Mailing address
3904 LOST CREEK BLVD, ALEDO, TX 76008-3656
(817) 244-0904
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
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