Individual
DR. RICHARD MCCOLL
Active
Individual
DR. RICHARD MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L1935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148935301
—
TX
01
—
260048177
RAILROAD MEDICARE
TX
01
—
742843213
TAX ID
TX
01
—
8465N0
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/02/2005
Last updated
04/23/2025
Update your record
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