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NPI Code Detail

MEDICARE: CHASE RICHARD HERDMAN MD

MEDICARE: CHASE RICHARD HERDMAN 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
1207RG0100XGastroenterology PhysicianM1139TX

General Provider Information

NPI Number : 1457446064
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASE RICHARD HERDMAN MD
Provider Business Mailing Address
First Line : 6445 HARRIS PKWY
Second Line : SUITE 100
City : FORT WORTH
State : TX
Zip : 76132-4138
Country : US
Telephone Number : 817-361-6900
Fax Number :
Provider Business Practice Location Address
First Line : 6317 HARRIS PKWY STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4258
Country : US
Telephone Number : 817-361-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/15/2021

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Directions to “ CHASE RICHARD HERDMAN MD” Practice Location

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