Individual
DR. THOMAS JOSEPH RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-0504
Mailing address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01055813A
IN
Other
Enumeration date
12/09/2005
Last updated
12/04/2013
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