Healthcare Provider Details

I. General information

NPI: 1700986494
Provider Name (Legal Business Name): THOMAS MICHAEL RICHEY NP-C, DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 12/10/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10141 US HIGHWAY 59 STE E1
WHARTON TX
77488-7748
US

IV. Provider business mailing address

4911 SANDHILL DR
SUGAR LAND TX
77479-5320
US

V. Phone/Fax

Practice location:
  • Phone: 979-358-9410
  • Fax:
Mailing address:
  • Phone: 281-238-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC6904
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number805624
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: