Provider Demographics
NPI:1891892550
Name:READINGER, RICHARD I (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:I
Last Name:READINGER
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1500 COOPER ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2710
Practice Address - Country:US
Practice Address - Phone:682-885-2140
Practice Address - Fax:817-332-2506
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD83952080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138474503Medicaid
TX137345810Medicaid
TX1392969OtherUHC PIN
TX140442852Medicaid
1750369203OtherGRP NPI NUMBER
TX1640386OtherFIRSTHEALTH PIN
TX4388256OtherAETNA PIN
TX10028570OtherAMERIGROUP PIN
TX87Z125OtherBCBSTX IND PIN
TX2880199OtherCIGNA PIN
TX138474505Medicaid
TX00U87ZOtherBCBSTX GRP PIN
TX1212202101OtherFIRSTCARE PIN
TX138474503Medicaid
TX1212202101OtherFIRSTCARE PIN
TX00U87ZMedicare PIN