Individual
DR. RICARDO SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6757 ARAPAHO RD, DALLAS, TX 75248-4005
(972) 488-8926
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K9661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030191302
—
TX
05
—
030191303
—
TX
Enumeration date
07/14/2006
Last updated
01/28/2008
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