Provider Demographics
NPI:1336142660
Name:RICHERT, H. MILLER II (MD)
Entity Type:Individual
Prefix:DR
First Name:H.
Middle Name:MILLER
Last Name:RICHERT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:4342 TREANOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602
Mailing Address - Country:US
Mailing Address - Phone:325-673-0900
Mailing Address - Fax:325-677-5061
Practice Address - Street 1:4342 TREANOR DRIVE
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602
Practice Address - Country:US
Practice Address - Phone:325-673-0900
Practice Address - Fax:325-677-5061
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF0644207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000EJ816Medicaid
TXC21075Medicare UPIN
TXP000EJ816Medicaid