Individual
MR. RICHARD W BRAINERD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MS.ED
Contact information
Practice address
18220 STATE HIGHWAY 249, HOUSTON, TX 77070-4347
(631) 455-1862
Mailing address
7250 W GREENS RD APT 614, HOUSTON, TX 77064-1126
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT7193
TX
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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