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NPI Code Detail

MEDICARE: ROSS RICHARDSON

MEDICARE: ROSS RICHARDSON
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
1207L00000XAnesthesiology Physician1639636210TX

General Provider Information

NPI Number : 1427907732
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS RICHARDSON
Provider Business Mailing Address
First Line : 216 CRESTWOOD DR
Second Line :
City : GRAHAM
State : TX
Zip : 76450-6911
Country : US
Telephone Number : 940-521-6696
Fax Number :
Provider Business Practice Location Address
First Line : 1600 11TH ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-4388
Country : US
Telephone Number : 940-764-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ ROSS RICHARDSON ” Practice Location

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