Individual
DR. RICHARD SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Mailing address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G4402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A3053
TEXAS BCBS PROV NO
TX
01
—
P00124092
RAILROAD MEDICARE PRO NO
TX
Enumeration date
09/20/2005
Last updated
07/09/2007
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