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Individual

RODNEY CHARLES RICHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7003 WOODWAY DR, SUITE 311, WACO, TX 76712-6170
(254) 741-1688
(254) 741-9767
Mailing address
PO BOX 18962, BELFAST, ME 04915-4084
(800) 566-5050
(254) 537-6869

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D9628
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117283502
TX
05
117283504
TX
01
8AV862
BCBS OF TX
TX
Enumeration date
11/10/2005
Last updated
01/06/2017
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