Provider Demographics
NPI:1073577953
Name:HECKER, RICHARD JAMES (PAC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JAMES
Last Name:HECKER
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 RIDGE OAK RD
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-8478
Mailing Address - Country:US
Mailing Address - Phone:918-312-9191
Mailing Address - Fax:
Practice Address - Street 1:CURA FOR THE WORLD OKLAHOMA CLINIC
Practice Address - Street 2:1500 E. DEWEY AVE
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-7406
Practice Address - Country:US
Practice Address - Phone:918-347-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI377-023363A00000X
OK2247363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
R91628Medicare UPIN