Individual
DOROTHY LEE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, BRADY, TX 76825-3305
(254) 485-1546
Mailing address
201 STATE ST, BRADY, TX 76825-3305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11996
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/28/2018
Last updated
06/01/2023
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