Provider Demographics
NPI:1669921573
Name:RICHARDS, CHAD (MS, CNIM)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:MS, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9777 W GULF BANK RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-3132
Mailing Address - Country:US
Mailing Address - Phone:281-970-5900
Mailing Address - Fax:281-970-5913
Practice Address - Street 1:9777 W GULF BANK RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-3132
Practice Address - Country:US
Practice Address - Phone:281-970-5900
Practice Address - Fax:281-970-5913
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic