Healthcare Provider Details

I. General information

NPI: 1932438165
Provider Name (Legal Business Name): RICHARD BERCHER MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLARKSVILLE ST SUITE 200
PARIS TX
75460-6097
US

IV. Provider business mailing address

1055 CLARKSVILLE ST SUITE 200
PARIS TX
75460-6097
US

V. Phone/Fax

Practice location:
  • Phone: 903-739-7700
  • Fax: 903-739-7989
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: PAUL R BERCHER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 903-739-7700