Provider Demographics
NPI:1427596824
Name:TEMPLEMAN, RICHARD LEE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LEE
Last Name:TEMPLEMAN
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-7006
Mailing Address - Country:US
Mailing Address - Phone:903-421-6408
Mailing Address - Fax:
Practice Address - Street 1:980 W. VAN ALSTYNE PKWY
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-7549
Practice Address - Country:US
Practice Address - Phone:903-712-3627
Practice Address - Fax:903-712-0060
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132913207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX670742699Medicaid