Richards, Roberta Jo
Richards, Roberta Jo is an individual health care provider with primary practice located at 3801 N Lamar Blvd Ste 300, Austin TX 78756-4080. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richards, Roberta Jo can be contacted via phone (512) 206-3600.Contact Information
Primary practice address
3801 N Lamar Blvd Ste 300
Austin TX 78756-4080
Phone: (512) 206-3600
Fax: (512) 454-2581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 453393 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 453393 | Texas |
Profile Details
| NPI number | 1891796967 |
|---|---|
| LBN Legal business name | Richards, Roberta Jo |
| Credentials | NPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Nov 23rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891796967 | NPPES |
| Texas | MEDICAID | 1637787-01 |
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