Provider Demographics
NPI:1790751030
Name:TEXADA, RICHARD P JR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:P
Last Name:TEXADA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:64301 HIGHWAY 434
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-5411
Mailing Address - Country:US
Mailing Address - Phone:985-882-4500
Mailing Address - Fax:985-882-4501
Practice Address - Street 1:995 ROBERT BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2009
Practice Address - Country:US
Practice Address - Phone:985-520-0909
Practice Address - Fax:985-882-4501
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA022519207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAH43970Medicare UPIN
LA4A483Medicare ID - Type Unspecified