Katseres, Richard Albert

Katseres, Richard Albert is an individual health care provider with primary practice located at 101 S Park Ln , Altus OK 73521-5731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Katseres, Richard Albert can be contacted via phone (580) 379-6180.

Contact Information

Primary practice address
101 S Park Ln Altus OK 73521-5731
Phone: (580) 379-6180
Fax: (580) 379-6189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H6331 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 19679 Oklahoma

Profile Details

NPI number 1073586624
LBN Legal business name Katseres, Richard Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 29th, 2022 - about 3 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 1073586624 NPPES
Texas MEDICAID 1311508-10
Texas MEDICAID 100174220B

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