Mamula, Richard A
Mamula, Richard A is an sole proprietor health care provider with primary practice located at 8221 Palisades Dr , Live Oak TX 78233-3402. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mamula, Richard A can be contacted via phone (888) 365-6271.Contact Information
Primary practice address
8221 Palisades Dr
Live Oak TX 78233-3402
Phone: (888) 365-6271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 52382 | Texas |
Profile Details
| NPI number | 1699324491 |
|---|---|
| LBN Legal business name | Mamula, Richard A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Sep 5th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699324491 | NPPES |
| Texas | Other | 52382 | LICENSE |
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