Cretella, Richard J.

Cretella, Richard J. is an individual health care provider with primary practice located at 2400 Round Rock Ave , Round Rock TX 78681-4004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cretella, Richard J. can be contacted via phone (512) 341-1000.

Contact Information

Primary practice address
2400 Round Rock Ave Round Rock TX 78681-4004
Phone: (512) 341-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X L2200 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L2200 Texas

Profile Details

NPI number 1700978038
LBN Legal business name Cretella, Richard J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated May 24th, 2010 - about 14 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 1700978038 NPPES
Texas MEDICAID 166957402
Texas Other 8B8464
Texas MEDICAID 166957401

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