Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1029 | TX |
NPI | 1093872962 |
---|---|
Provider Name | Dr. Howard Mark Richman |
First Address | San Saba, TX 76877-0635 |
Second Address | Fort Hood, TX 76544-5095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T81936 | (02) | TX |