Healthcare Provider Details

I. General information

NPI: 1598695231
Provider Name (Legal Business Name): EVELYN RICHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N LOOP 288 STE 123
DENTON TX
76209-4218
US

IV. Provider business mailing address

306 N LOOP 288 STE 123
DENTON TX
76209-4218
US

V. Phone/Fax

Practice location:
  • Phone: 469-626-7511
  • Fax: 469-613-0813
Mailing address:
  • Phone: 469-626-7511
  • Fax: 469-613-0813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: