Herndon Richardson JR. PA-C

NPI 1366551582 - Physician Assistant - 363AM0700X

NPI Details
NPI 1366551582
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4500 S LANCASTER RD
DALLAS TX, 75216-7167, US
Phone (214) 857-1817
Fax (214) 302-1306
Business Location
2709 PLANETREE DR
ROWLETT TX, 75089-1615, US
Phone (972) 463-0787
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State
License Number
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According to our database, Mr. Herndon Richardson JR. PA-C NPI is 1366551582, taxonomy code is 363AM0700X Herndon Richardson JR. PA-C physically located at 4500 S Lancaster Rd, Dallas TX, 75216-7167. NPI Number Herndon Richardson JR. PA-C has the Individual type.

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1366551582 NPI number is provided on an as is basis without warranty of any kind. 1366551582 is maintained by the National Plan & Provider Enumeration System. The contents of Herndon Richardson JR. PA-C are for informational purposes only.