MEDICARE: DR. RICHARD C. HELDT 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
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	L2932	TX
2	207L00000X	Anesthesiology Physician	L2932	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8F3130	OTHER	TX	BCBS OF TX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083674725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD C. HELDT M.D.

Provider Business Mailing Address
First Line	:	135 HERITAGE LN
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76087-4422
Country	:	US
Telephone Number	:	817-901-9945
Fax Number	:	817-594-7722

Provider Business Practice Location Address
First Line	:	1970 S MAIN ST
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-5508
Country	:	US
Telephone Number	:	817-594-7722
Fax Number	:	817-594-7722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	05/07/2021

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