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Individual

JOHN A RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
556 8TH AVE, FORT WORTH, TX 76104-2004
(817) 336-6222
(817) 336-6416
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 336-6416

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D8402
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033041702
TX
01
P00308735
RAILROAD MEDICARE
Enumeration date
07/17/2006
Last updated
10/04/2011
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