Individual
RICHARD ALLAN REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2319 BROOK HOLLOW DR, WICHITA FALLS, TX 76308-2206
(940) 691-9382
(940) 691-9383
Mailing address
2319 BROOK HOLLOW DR, WICHITA FALLS, TX 76308-2206
(940) 691-9382
(940) 691-9383
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F2870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00282477
RAILROAD MEDICARE
TX
Enumeration date
08/22/2006
Last updated
07/08/2007
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