Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | R7098 | TX |
NPI | 1033408182 |
---|---|
Provider Name | Nicole Elizabeth Rich |
First Address | Dallas, TX 75284-7208 |
Second Address | Dallas, TX 75390 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2011 |
Last Update Date | 17/01/2019 |