Avery, Richard M

Avery, Richard M is an individual health care provider with primary practice located at 1717 Highway 59 Loop N , Livingston TX 77351-5703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Avery, Richard M can be contacted via phone (936) 329-8700.

Contact Information

Primary practice address
1717 Highway 59 Loop N Livingston TX 77351-5703
Phone: (936) 329-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M1421 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M1421 Texas

Profile Details

NPI number 1023073822
LBN Legal business name Avery, Richard M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023073822 NPPES
Texas MEDICAID 176138901

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