Individual
DR. JACLYN RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
(512) 868-9894
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A104017
CA
208000000X
Pediatrics Physician
Primary
Q1893
TX
Other
Enumeration date
07/10/2008
Last updated
02/11/2015
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