MEDICARE: RICHARD A HRACHOVY 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	2084N0600X	Clinical Neurophysiology Physician	E2623	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518948470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A HRACHOVY M.D.

Provider Business Mailing Address
First Line	:	1 BAYLOR PLZ
Second Line	:	SUITE NB 302
City	:	HOUSTON
State	:	TX
Zip	:	77030-3411
Country	:	US
Telephone Number	:	713-798-0980
Fax Number	:	713-798-0984

Provider Business Practice Location Address
First Line	:	1 BAYLOR PLZ
Second Line	:	SUITE NB 302
City	:	HOUSTON
State	:	TX
Zip	:	77030-3411
Country	:	US
Telephone Number	:	713-798-0980
Fax Number	:	713-798-0984

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	04/12/2011

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