Provider Demographics
NPI:1083674725
Name:HELDT, RICHARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:HELDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-4422
Mailing Address - Country:US
Mailing Address - Phone:817-901-9945
Mailing Address - Fax:817-594-7722
Practice Address - Street 1:1970 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5508
Practice Address - Country:US
Practice Address - Phone:817-594-7722
Practice Address - Fax:817-594-7722
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL29322083B0002X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F3130OtherBCBS OF TX
TX148466901Medicaid
TX8F3130OtherBCBS OF TX
H51992Medicare UPIN
TX148466901Medicaid