Individual
MR. RICHARD W JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L9582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173229901
—
TX
01
—
L9582
STATE LICENSE
TX
01
—
X0138558
DPS
—
Enumeration date
07/14/2005
Last updated
07/23/2025
Update your record
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