Individual
DR. FRED TILMAN RICHARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5426 HOLLY RD., CORPUS CHRISTI, TX 78411-4635
(361) 991-8743
(361) 991-8755
Mailing address
5426 HOLLY RD., CORPUS CHRISTI, TX 78411
(361) 991-8743
(361) 991-8755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13801
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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