Individual
RICHARD C ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3026 HILLCREST DR, SAN ANTONIO, TX 78201-7006
(210) 616-0871
(210) 733-1473
Mailing address
PO BOX 100408, SAN ANTONIO, TX 78201-1708
(210) 616-0871
(210) 733-1473
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0751
STATE LICENSE
TX
05
—
130995704
—
TX
Enumeration date
02/01/2007
Last updated
06/10/2010
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