Healthcare Provider Details

I. General information

NPI: 1457311284
Provider Name (Legal Business Name): RICHARD CONRAD GALPERIN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N ZANG BLVD STE 103
DALLAS TX
75208-4858
US

IV. Provider business mailing address

801 N ZANG BLVD STE 103
DALLAS TX
75208-4858
US

V. Phone/Fax

Practice location:
  • Phone: 214-330-9299
  • Fax: 866-846-5648
Mailing address:
  • Phone: 214-330-9299
  • Fax: 866-846-5648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1224
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1224
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: