MEDICARE: DR. RICHARD B . FREEMAN JR. MD

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
1	204F00000X	Transplant Surgery Physician	14758	NH
2	208600000X	Surgery Physician	14758	NH
3	204F00000X	Transplant Surgery Physician	Q7371	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1437232899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD B . FREEMAN JR. MD

Provider Business Mailing Address
First Line	:	1501 RED RIVER ST
Second Line	:	DELL MEDICAL SCHOOL-UT OF AUSTIN
City	:	AUSTIN
State	:	TX
Zip	:	78712-1845
Country	:	US
Telephone Number	:	512-495-5257
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 RED RIVER ST
Second Line	:	DELL MEDICAL SCHOOL-UT OF AUSTIN
City	:	AUSTIN
State	:	TX
Zip	:	78712-1845
Country	:	US
Telephone Number	:	512-495-5257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	04/27/2017

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