Individual
MR. HERNDON RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1817
(214) 302-1306
Mailing address
2709 PLANETREE DR, ROWLETT, TX 75089-1615
(972) 463-0787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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