Richard Shane Treider
Prosthetist
4511 49th St
Lubbock
, Texas 79414-3607
Richard Shane Treider
Prosthetist
4511 49th St
Lubbock
, Texas 79414-3607
(702) 326-2988
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Richard Shane Treider
- 4511 49th St
- Lubbock, TX
- Zip : 79414-3607
- Phone : (702) 326-2988
Second Address
- Richard Shane Treider
- 4511 49th St
- Lubbock, TX
- Zip : 79414-3607
- Phone : (702) 326-2988
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1144712605 |
|---|---|
| Provider Name | Richard Shane Treider |
| First Address | Lubbock, TX 79414-3607 |
| Second Address | Lubbock, TX 79414-3607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2018 |
| Last Update Date | 31/05/2018 |
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.