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Organization

RICHARD HA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD HA MD (PRESIDENT)
(214) 818-0935
Entity
Organization

Contact information

Practice address
11970 N CENTRAL EXPY STE 270, DALLAS, TX 75243-3770
(214) 818-0935
(214) 887-3525
Mailing address
11970 N CENTRAL EXPY STE 270, DALLAS, TX 75243-3770
(214) 818-0935
(214) 887-3525

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
K9795
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031MB
BLUE CROSS BLUE SHIELD
TX
01
H82896
UPIN
TX
01
K9795
MEDICAL LICENSE
TX
Enumeration date
02/20/2007
Last updated
05/10/2024
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