Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | D0G3716 | TX |
NPI | 1386779940 |
---|---|
Provider Name | Richard L Ragsdale |
First Address | Allen, TX 75013-6103 |
Second Address | Allen, TX 75013-6103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A10575 | (02) | TX |