Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | L0579 | TX |
NPI | 1003802703 |
---|---|
Provider Name | Richard R Scriven |
First Address | North Richland Hills, TX 76180-8380 |
Second Address | North Richland Hills, TX 76180-8380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 16/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100724701 | (05) | TX |
100724702 | (05) | TX |
100724703 | (05) | TX |
100724704 | (05) | TX |
100724705 | (05) | TX |
A06620 | (02) | TX |