Healthcare Provider Details

I. General information

NPI: 1104921857
Provider Name (Legal Business Name): JOHN RICHARDSON SYKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN RICHARDSON SYKES M.D.

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3423 COURTYARD CIR
FARMERS BRANCH TX
75234-3777
US

IV. Provider business mailing address

3423 COURTYARD CIR
FARMERS BRANCH TX
75234-3777
US

V. Phone/Fax

Practice location:
  • Phone: 972-247-9946
  • Fax: 972-247-9388
Mailing address:
  • Phone: 972-247-9946
  • Fax: 972-247-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberJ0688
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: