Provider Demographics
NPI:1225251002
Name:ENGLEHARDT, RICHARD KIRK (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KIRK
Last Name:ENGLEHARDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9910 HUEBNER RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1342
Mailing Address - Country:US
Mailing Address - Phone:210-615-8500
Mailing Address - Fax:210-558-3345
Practice Address - Street 1:9910 HUEBNER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1342
Practice Address - Country:US
Practice Address - Phone:210-615-8500
Practice Address - Fax:210-558-3345
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2014-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088233208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery