Dr. Richard O Rothwell
Obstetrician
928 N Glenwood Blvd Suite 415
Tyler
, Texas 75702-5055
Dr. Richard O Rothwell
Obstetrician
928 N Glenwood Blvd Suite 415
Tyler
, Texas 75702-5055
(903) 535-9041
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Richard O Rothwell
- Po Box 844273
- Dallas, TX
- Zip : 75284-4273
- Phone : (903) 535-9041
Second Address
- Dr. Richard O Rothwell
- 928 N Glenwood Blvd Suite 415
- Tyler, TX
- Zip : 75702-5055
- Phone : (903) 535-9041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | D9644 | TX |
National Provider Identifier
| NPI | 1265459770 |
|---|---|
| Provider Name | Dr. Richard O Rothwell |
| First Address | Dallas, TX 75284-4273 |
| Second Address | Tyler, TX 75702-5055 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 26/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 032986405 | (05) | TX |
| 45-2578435-002 | TRICARE (01) | TX |
| 8EX185 | BCBS (01) | TX |
| P01459210 | RAIL ROAD MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.