Healthcare Provider Details

I. General information

NPI: 1962329987
Provider Name (Legal Business Name): AIDAN RICHMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 MIDWAY RD STE 145
CARROLLTON TX
75006-5263
US

IV. Provider business mailing address

7817 BAYWOOD CT
NORTH RICHLAND HILLS TX
76182-6721
US

V. Phone/Fax

Practice location:
  • Phone: 972-851-1022
  • Fax:
Mailing address:
  • Phone: 817-727-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: