MEDICARE: PERRY RICHKER

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	101YP2500X	Professional Counselor	00000	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	0000	TX

General Provider Information

NPI Number	:	1437361987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRY RICHKER

Provider Business Mailing Address
First Line	:	6000 CHIMNEY ROCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 CHIMNEY ROCK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4004
Country	:	US
Telephone Number	:	713-274-8000
Fax Number	:

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

Provider Enumeration Date	:	05/05/2007
Last Update Date	:	01/09/2025

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Directions to “ PERRY RICHKER ” Practice Location

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