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NPI Code Detail

MEDICARE: RICHARD W RICHOUX M.D.

MEDICARE: RICHARD W RICHOUX 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
12084F0202XForensic Psychiatry Physician014312LA

General Provider Information

NPI Number : 1821124439
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD W RICHOUX M.D.
Provider Business Mailing Address
First Line : 601 N CARROLLTON AVE
Second Line : STE. D
City : NEW ORLEANS
State : LA
Zip : 70119-4700
Country : US
Telephone Number : 504-269-9090
Fax Number :
Provider Business Practice Location Address
First Line : 601 N CARROLLTON AVE
Second Line : STE. D
City : NEW ORLEANS
State : LA
Zip : 70119-4700
Country : US
Telephone Number : 504-269-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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