Provider Demographics
NPI:1073645941
Name:ENGLISH, RICHARD ALLEN (LAT,ATC,CPR-I)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ALLEN
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:LAT,ATC,CPR-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 CHERRYWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6860
Mailing Address - Country:US
Mailing Address - Phone:214-629-0393
Mailing Address - Fax:
Practice Address - Street 1:800 FM 741
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3913
Practice Address - Country:US
Practice Address - Phone:972-564-7000
Practice Address - Fax:972-564-7032
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT16892255A2300X
NE2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer