Individual
DR. MAYME RICHIE-GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 8TH AVE STE 600, FORT WORTH, TX 76104-4121
(817) 702-9100
Mailing address
PO BOX 26979, FORT WORTH, TX 76126-0979
(817) 688-0920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H2723
TX
2086X0206X
Surgical Oncology Physician
H2723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138940505
—
TX
01
—
U41H
BCBS
TX
Enumeration date
05/24/2005
Last updated
12/18/2023
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