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Individual

BRIAN D RICHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD, LD, CDE

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
3523 HEATHERBROOK DR, ARLINGTON, TX 76001-6514
(817) 235-3459

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
851916
133V00000X
Registered Dietitian
DT05195
TX

Other

Enumeration date
06/21/2013
Last updated
06/21/2013
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