Provider Demographics
NPI:1972360618
Name:CHARLES HUNTER RICHMOND MD
Entity Type:Organization
Organization Name:CHARLES HUNTER RICHMOND MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-771-7503
Mailing Address - Street 1:204 MEDICAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6374
Mailing Address - Country:US
Mailing Address - Phone:903-771-7503
Mailing Address - Fax:903-771-7821
Practice Address - Street 1:204 MEDICAL DR STE 200
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6374
Practice Address - Country:US
Practice Address - Phone:903-771-7503
Practice Address - Fax:903-771-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Multi-Specialty