Richardson, Jared Lee
Richardson, Jared Lee is an individual health care provider with primary practice located at 4401 Booth Calloway Rd , North Richland Hills TX 76180-7371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, Jared Lee can be contacted via phone (972) 540-4919.Contact Information
Primary practice address
4401 Booth Calloway Rd
North Richland Hills TX 76180-7371
Phone: (972) 540-4919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L7139 | Texas |
Profile Details
| NPI number | 1881673259 |
|---|---|
| LBN Legal business name | Richardson, Jared Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 5th, 2007 - about 19 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 | 1881673259 | NPPES |
| Texas | Other | P00054126 | MEDICARE RAILROAD |
| Texas | Other | 8F6637 | MEDICARE RAILROAD |
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