MEDICARE: GEORGE A RICHARDSON MD

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	207X00000X	Orthopaedic Surgery Physician	F1934	TX
2	207XS0106X	Orthopaedic Hand Surgery Physician	F1934	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427026152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE A RICHARDSON MD

Provider Business Mailing Address
First Line	:	3201 UNIVERSITY DR E
Second Line	:	SUITE 255
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	979-774-0411
Fax Number	:	979-776-0508

Provider Business Practice Location Address
First Line	:	3201 UNIVERSITY DR E
Second Line	:	SUITE 255
City	:	BRYAN
State	:	TX
Zip	:	77802-3475
Country	:	US
Telephone Number	:	979-774-0411
Fax Number	:	979-776-0508

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	07/08/2009

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Directions to “ GEORGE A RICHARDSON MD” Practice Location

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