Elledge, Richard

Elledge, Richard is an individual health care provider with primary practice located at 7979 Wurzbach Rd , San Antonio TX 78229-4427. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Elledge, Richard can be contacted via phone (210) 450-1000.

Contact Information

Primary practice address
7979 Wurzbach Rd San Antonio TX 78229-4427
Phone: (210) 450-1000
Fax: (210) 450-1000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F9395 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X F9395 Texas

Profile Details

NPI number 1982784229
LBN Legal business name Elledge, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 1st, 2018 - about 6 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 1982784229 NPPES
Texas MEDICAID 124698505

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