Wasserman, Richard Lawrence
Wasserman, Richard Lawrence is an individual health care provider with primary practice located at 7777 Forest Ln Suite B-332, Dallas TX 75230-2571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Wasserman, Richard Lawrence can be contacted via phone (972) 566-7788.Contact Information
Primary practice address
7777 Forest Ln Suite B-332
Dallas TX 75230-2571
Phone: (972) 566-7788
Fax: (972) 566-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | G4068 | Texas |
Profile Details
| NPI number | 1346234614 |
|---|---|
| LBN Legal business name | Wasserman, Richard Lawrence |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Nov 13th, 2023 - about 3 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 | 1346234614 | NPPES |
| Texas | Other | 397487ZM3L | MEDICARE PTAN |
| Texas | MEDICAID | 1346234614 | MEDICARE PTAN |
| Texas | Other | 940841 | MEDICARE PTAN |
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