Healthcare Provider Details

I. General information

NPI: 1720087174
Provider Name (Legal Business Name): PAUL RICHARD BERCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PAUL RICHARD BERCHER M.D.

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S COLLEGIATE DR STE 100
PARIS TX
75460-6319
US

IV. Provider business mailing address

1055 CLARKSVILLE ST SUITE 200
PARIS TX
75460-6097
US

V. Phone/Fax

Practice location:
  • Phone: 903-783-1818
  • Fax: 903-739-8370
Mailing address:
  • Phone: 903-739-7700
  • Fax: 903-739-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD7524
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: