Provider Demographics
NPI:1114913548
Name:DAY, RICHARD L (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:DAY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5265 LOUETTA RD
Mailing Address - Street 2:STE A
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-8136
Mailing Address - Country:US
Mailing Address - Phone:281-355-7890
Mailing Address - Fax:281-355-0911
Practice Address - Street 1:5265 LOUETTA RD
Practice Address - Street 2:STE A
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-8136
Practice Address - Country:US
Practice Address - Phone:281-355-7890
Practice Address - Fax:281-355-0911
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1127213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092800401Medicaid
TX5338970001Medicare NSC
00H27RMedicare PIN
TX5338970002Medicare NSC
TX5338970003Medicare NSC