Individual
DR. STEPHEN LANE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
500 S HENDERSON ST STE 200, FORT WORTH, TX 76104-2154
(817) 413-1500
(817) 413-1499
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M6360
TX
207RH0003X
Hematology & Oncology Physician
Primary
M6360
TX
207RX0202X
Medical Oncology Physician
M6360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188271405
—
TX
05
—
188271406
—
TX
01
—
8W6313
BCBS
TX
01
—
P00998372
RAILROAD MEDICARE
TX
Enumeration date
04/12/2007
Last updated
09/11/2019
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