MEDICARE: PATRICIA L. RICHARD

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932383114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICIA L. RICHARD

Provider Business Mailing Address
First Line	:	6046 FM 2920 RD STE 114
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	281-507-3389
Fax Number	:	832-717-7917

Provider Business Practice Location Address
First Line	:	6046 FM 2920 RD STE 114
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-2542
Country	:	US
Telephone Number	:	281-507-3389
Fax Number	:	832-717-7917

Authorized Official
Title or Position	:	CEO
Name	:	MS. PATRICIA L. RICHARD
Credential	:
Telephone Number	:	281-507-3389

Provider Enumeration Date	:	12/23/2007
Last Update Date	:	12/23/2007

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