Individual
MICHAEL L. RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7633 BELLAIRE DR S STE 117, FORT WORTH, TX 76132-4311
(817) 566-0663
(817) 346-2564
Mailing address
537 ELMER RD, ELMER, LA 71424-9539
(318) 659-4947
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
09002R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1924130
—
LA
Enumeration date
05/19/2006
Last updated
10/22/2008
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