Provider Demographics
NPI:1619522331
Name:TERIYA RICHMOND MD MPH & ASSOCIATES
Entity Type:Organization
Organization Name:TERIYA RICHMOND MD MPH & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERIYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-453-6962
Mailing Address - Street 1:4702 EMANCIPATION AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6031
Mailing Address - Country:US
Mailing Address - Phone:713-453-6962
Mailing Address - Fax:713-453-6967
Practice Address - Street 1:4702 EMANCIPATION AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6031
Practice Address - Country:US
Practice Address - Phone:713-453-6962
Practice Address - Fax:713-453-6967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care