Richardson, Kristopher L

Richardson, Kristopher L is an individual health care provider with primary practice located at 6000 S Staples St Suite 406, Corpus Christi TX 78413-2952. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Richardson, Kristopher L can be contacted via phone (361) 993-4835.

Contact Information

Primary practice address
6000 S Staples St Suite 406 Corpus Christi TX 78413-2952
Phone: (361) 993-4835
Fax: (361) 993-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02807 Texas

Profile Details

NPI number 1861483984
LBN Legal business name Richardson, Kristopher L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861483984 NPPES
Texas MEDICAID 216948402

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