MEDICARE: DR. RICHARD HA M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	K9795	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

General Provider Information

NPI Number	:	1609849207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD HA M.D.

Provider Business Mailing Address
First Line	:	11970 N CENTRAL EXPY STE 270
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3770
Country	:	US
Telephone Number	:	214-818-0935
Fax Number	:	214-887-3525

Provider Business Practice Location Address
First Line	:	11970 N CENTRAL EXPY STE 270
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3770
Country	:	US
Telephone Number	:	214-818-0935
Fax Number	:	214-887-3525

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/10/2024

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Directions to “ DR. RICHARD HA M.D.” Practice Location

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