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NPI Code Detail

MEDICARE: RICHARD NICHOLAS PLUNK

MEDICARE: RICHARD NICHOLAS PLUNK
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
1225200000XPhysical Therapy Assistant2090987TX

General Provider Information

NPI Number : 1518399971
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD NICHOLAS PLUNK
Provider Business Mailing Address
First Line : 5124 GREENWATER DR
Second Line :
City : WILLIS
State : TX
Zip : 77318-9109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 127 MEDICAL PARK LN
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4972
Country : US
Telephone Number : 936-294-0283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2013
Last Update Date : 08/07/2013

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Directions to “ RICHARD NICHOLAS PLUNK ” Practice Location

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