MEDICARE: DR. RICHARD CLARENCE GEIS 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	208600000X	Surgery Physician	C8979	TX
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	C8979	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	:	1891756532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD CLARENCE GEIS M.D.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1654
City	:	HOUSTON
State	:	TX
Zip	:	77030-2734
Country	:	US
Telephone Number	:	713-797-1211
Fax Number	:	713-795-9805

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 1654
City	:	HOUSTON
State	:	TX
Zip	:	77030-2734
Country	:	US
Telephone Number	:	713-797-1211
Fax Number	:	713-795-9805

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	09/22/2010

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