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NPI Code Detail

MEDICARE: DR. RICHARD ALBERT KATSERES M.D.

MEDICARE:  DR. RICHARD ALBERT KATSERES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianH6331TX
2208600000XSurgery Physician19679OK

Other Identifiers

General Provider Information

NPI Number : 1073586624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ALBERT KATSERES M.D.
Provider Business Mailing Address
First Line : 101 S PARK LN
Second Line :
City : ALTUS
State : OK
Zip : 73521-5731
Country : US
Telephone Number : 580-379-6180
Fax Number : 580-379-6189
Provider Business Practice Location Address
First Line : 101 S PARK LN
Second Line :
City : ALTUS
State : OK
Zip : 73521-5731
Country : US
Telephone Number : 580-379-6180
Fax Number : 580-379-6189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 08/29/2022

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Directions to “ DR. RICHARD ALBERT KATSERES M.D.” Practice Location

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