Provider Demographics
NPI:1184608424
Name:RICHARD, AL DEAN (DC)
Entity type:Individual
Prefix:DR
First Name:AL
Middle Name:DEAN
Last Name:RICHARD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3006 BEE CAVES RD STE A300
Mailing Address - Street 2:
Mailing Address - City:ROLLINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5541
Mailing Address - Country:US
Mailing Address - Phone:512-542-9031
Mailing Address - Fax:512-478-1752
Practice Address - Street 1:3006 BEE CAVES RD STE A300
Practice Address - Street 2:
Practice Address - City:ROLLINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:78746-5541
Practice Address - Country:US
Practice Address - Phone:512-542-9031
Practice Address - Fax:512-478-1752
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor