SELF RICHARD DBA NPI 1003062472

NPI Information

NPI: 1003062472
Provider Name: SELF RICHARD DBA
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
6701 CALMONT AVE APT 101
FORT WORTH, TX
ZIP 76116
Phone: (817) 304-2892
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SELF RICHARD DBA is a private vehicle in Fort Worth, TX. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. SELF RICHARD DBA NPI is 1003062472. The provider is registered as an organization entity type.

The provider's business location address is:

6701 CALMONT AVE APT 101
FORT WORTH, TX
ZIP 76116-239
Phone: (817) 304-2892
Fax: (817) 246-4764

The provider's authorized official is Richard Ray Baker .
The authorized official title is Home Health Nurse Aide and has the following contact phone number (817) 304-8292.

The enumeration date for this NPI number is 8/17/2008 and was last updated on 8/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		09332825	TEXAS	No
2	347C00000X	Private Vehicle		09332825	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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