Individual
DR. RICHARD MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3223 S LOOP 289 STE 600, LUBBOCK, TX 79423-1372
(833) 351-8255
(888) 815-3583
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255
(888) 815-3583
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
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