Marietta B Richard (NPI# 1699950782, PAC ID# 3971680240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1699950782 |
| PAC ID by PECOS | 3971680240 |
| Professional Enrollment ID | I20080410000573 |
| Full Name | Marietta B Richard |
| Address |
1725 E Southlake Blvd Suite 102 Southlake TX 76092-6457 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1725 E Southlake Blvd, Suite 102, Southlake, TX 76092-6457 |
| Street Address |
1725 E SOUTHLAKE BLVD SUITE 102 |
| City | SOUTHLAKE |
| State | TX |
| Zip | 76092-6457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Branon Z Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Jerry L Lugger | Plastic and Reconstructive Surgery | 3061 W Southlake Blvd, Suite 130, Southlake, TX 76092-0311 | |
| Deborah J Zanella | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Alex R Conley | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Taylor R Brooks | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Peter J Zanella Jr. | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Rawn E Bosley | Dermatology | 925 E Southlake Blvd, Suite 200, Southlake, TX 76092-1476 | |
| Victoria A Lopez | Physical Therapy | Ideal Physical Therapy of Texas LLC | 245 W State Hwy 114, Suite 320, Southlake, TX 76092-3603 |
| Asif Husain | General Surgery | 190 W State Hwy 114, Suite G, Southlake, TX 76092-3612 | |
| Find all physicians in zip 76092 | |||
| City | SOUTHLAKE |
| Zip Code | 76092 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SOUTHLAKE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Marietta B Richard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.