Provider Demographics
NPI:1457311284
Name:GALPERIN, RICHARD CONRAD (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CONRAD
Last Name:GALPERIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N ZANG BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4858
Mailing Address - Country:US
Mailing Address - Phone:214-330-9299
Mailing Address - Fax:866-846-5648
Practice Address - Street 1:801 N ZANG BLVD STE 103
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4858
Practice Address - Country:US
Practice Address - Phone:214-330-9299
Practice Address - Fax:866-846-5648
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1224332B00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089850402Medicaid
TXU43250Medicare UPIN
TX00L02AMedicare ID - Type UnspecifiedMEDICARE
TX8F21947Medicare PIN