Individual
CHARLES HUNTER RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 MEDICAL DR STE 200, SHERMAN, TX 75092-6374
(903) 771-7503
(903) 771-7821
Mailing address
204 MEDICAL DR STE 200, SHERMAN, TX 75092-6374
(903) 771-7503
(903) 771-7821
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
J2280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035052201
—
TX
01
—
3380289
BLUELINK
TX
01
—
4492270
AETNA
TX
01
—
6826666002
CIGNA
TX
01
—
752546971002
TRICARE
TX
01
—
J2280
STATE LICENSE
TX
01
—
N60H
BCBS
TX
Enumeration date
09/23/2005
Last updated
03/06/2024
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