Stephen Livain Richard PAC

NPI 1770673782 - Physician Assistant - 363A00000X

NPI Details
NPI 1770673782
Gender Male
Enumeration Date 10/13/2006
Last Updated 02/16/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2890 N ST
CHRISTUS MINOR CARE CLINIC
BEAUMONT TX, 77702, US
Phone (409) 899-7084
Fax
Business Location
605 MAY AVE
TAHLEQUAH OK, 74464-4820, US
Phone (918) 822-4252
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03068
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According to our database, Stephen Livain Richard PAC NPI is 1770673782, taxonomy code is 363A00000X and license number is PA03068, license state is located at Texas. Stephen Livain Richard PAC physically located at 2890 N St, Beaumont TX, 77702. NPI Number Stephen Livain Richard PAC has the Individual type.

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1770673782 NPI number is provided on an as is basis without warranty of any kind. 1770673782 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Livain Richard PAC are for informational purposes only.