Provider Demographics
NPI:1396742128
Name:PALMER, RICHARD DUANE (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:DUANE
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2277 NW MILITARY HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1853
Mailing Address - Country:US
Mailing Address - Phone:210-342-7300
Mailing Address - Fax:210-342-7325
Practice Address - Street 1:2277 NW MILITARY HWY
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1853
Practice Address - Country:US
Practice Address - Phone:210-342-7300
Practice Address - Fax:210-342-7325
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2016-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG3668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F1394Medicare PIN