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NPI Code Detail

MEDICARE: RICHARD EUSANIO, D.P.M.,P.C.

MEDICARE: RICHARD EUSANIO, D.P.M.,P.C.
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
1213E00000XPodiatrist0440TX

General Provider Information

NPI Number : 1942330220
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD EUSANIO, D.P.M.,P.C.
Provider Business Mailing Address
First Line : 1645 N TOWN EAST BLVD
Second Line : #502
City : MESQUITE
State : TX
Zip : 75150-4158
Country : US
Telephone Number : 972-270-3338
Fax Number : 972-270-7882
Provider Business Practice Location Address
First Line : 1645 N TOWN EAST BLVD
Second Line : #502
City : MESQUITE
State : TX
Zip : 75150-4158
Country : US
Telephone Number : 972-270-3338
Fax Number : 972-270-7882
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD EUSANIO
Credential : D.P.M.
Telephone Number : 972-270-3338
Provider Enumeration Date : 03/06/2007
Last Update Date : 08/08/2009

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