Individual
RICHARD TODD IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 MAIN ST, SUITE 1450, HOUSTON, TX 77030-2348
(713) 798-7500
(713) 798-3487
Mailing address
PO BOX 4775, HOUSTON, TX 77210-4775
(713) 798-5696
(713) 798-1144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
J9714
TX
207VX0201X
Gynecologic Oncology Physician
Primary
J9714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043091003
—
TX
Enumeration date
10/17/2006
Last updated
06/10/2022
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