Individual
DR. RICHARD BERNARD PESIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRIAR HOLLOW LN, SUITE 102, HOUSTON, TX 77027-2819
(713) 795-5424
(713) 961-0008
Mailing address
PO BOX 540208, HOUSTON, TX 77254-0208
(713) 795-5424
(713) 961-0008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D6673
TX
2084P0804X
Child & Adolescent Psychiatry Physician
D6673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000M0242
—
TX
Enumeration date
05/19/2006
Last updated
12/16/2016
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