MEDICARE: RICHARD M PERRY D.O.

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	251G00000X	Community Based Hospice Care Agency	J7131	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	:	1457369985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M PERRY D.O.

Provider Business Mailing Address
First Line	:	3001 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6830
Country	:	US
Telephone Number	:	936-295-7100
Fax Number	:	866-594-8929

Provider Business Practice Location Address
First Line	:	3001 OLD HOUSTON RD
Second Line	:
City	:	HUNTSVILLE
State	:	TX
Zip	:	77340-6830
Country	:	US
Telephone Number	:	936-295-7100
Fax Number	:	866-594-8929

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	03/18/2024

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Directions to “ RICHARD M PERRY D.O.” Practice Location

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