Richardson, Jared Lee

Richardson, Jared Lee is an individual health care provider with primary practice located at 4401 Booth Calloway Rd , North Richland Hills TX 76180-7371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, Jared Lee can be contacted via phone (972) 540-4919.

Contact Information

Primary practice address
4401 Booth Calloway Rd North Richland Hills TX 76180-7371
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L7139 Texas

Profile Details

NPI number 1881673259
LBN Legal business name Richardson, Jared Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Dec 5th, 2007 - about 18 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 1881673259 NPPES
Texas Other P00054126 MEDICARE RAILROAD
Texas Other 8F6637 MEDICARE RAILROAD

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