Individual
DR. DAVID MATTHEW RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2756
TX
207RG0100X
Gastroenterology Physician
4301109025
MI
207RG0100X
Gastroenterology Physician
Primary
N2756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292413YKQH
MEDICARE PTAN
TX
01
—
311381303
TRADITIONAL MEDICAID TPI
TX
01
—
311381304
CSHCN MEDICAID TPI
TX
Enumeration date
06/01/2009
Last updated
11/03/2017
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