Individual
TALYA REBECCA RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7801 OAKMONT BLVD STE 101, FT WORTH, TX 76132-4242
(817) 263-0007
(817) 263-1118
Mailing address
PO BOX 975115, DALLAS, TX 75397-5115
(817) 263-0007
(817) 263-1118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145329
TX
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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