Provider Demographics
NPI:1649211939
Name:HUSBY, RICHARD TODD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:TODD
Last Name:HUSBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 BARONRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-4001
Mailing Address - Country:US
Mailing Address - Phone:281-701-2813
Mailing Address - Fax:281-474-2470
Practice Address - Street 1:1125 HIGHWAY 3 N
Practice Address - Street 2:SUITE 100
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4048
Practice Address - Country:US
Practice Address - Phone:409-938-5050
Practice Address - Fax:409-938-5589
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4862207P00000X, 207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13760891Medicaid
TX8D9762Medicare ID - Type Unspecified
TXF05580Medicare UPIN