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NPI Code Detail

MEDICARE: RICHARDSON PHYSICIAN ALLIANCE

MEDICARE: RICHARDSON PHYSICIAN ALLIANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2207Q00000XFamily Medicine Physician
3208M00000XHospitalist Physician
4207RH0003XHematology & Oncology Physician
5208600000XSurgery Physician
6207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK7047OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144277542
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARDSON PHYSICIAN ALLIANCE
Provider Business Mailing Address
First Line : 401 W CAMPBELL RD
Second Line : ATTN: SHIRLEY BUTLER
City : RICHARDSON
State : TX
Zip : 75080-3416
Country : US
Telephone Number : 972-498-4700
Fax Number : 972-498-4883
Provider Business Practice Location Address
First Line : 401 W CAMPBELL RD
Second Line : ATTN: SHIRLEY BUTLER
City : RICHARDSON
State : TX
Zip : 75080-3416
Country : US
Telephone Number : 972-498-4700
Fax Number : 972-498-4883
Authorized Official
Title or Position : VP CFO
Name : ROBERT M SIMPSON
Credential :
Telephone Number : 972-498-4700
Provider Enumeration Date : 05/30/2006
Last Update Date : 06/13/2011

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Directions to “RICHARDSON PHYSICIAN ALLIANCE ” Practice Location

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