Provider Demographics
NPI:1912151366
Name:RICHARDSON, DARRIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:J
Last Name:RICHARDSON
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 1:1930 COUNTRY PLACE PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2143
Mailing Address - Country:US
Mailing Address - Phone:713-340-0304
Mailing Address - Fax:713-340-0306
Practice Address - Street 1:1930 COUNTRY PLACE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2143
Practice Address - Country:US
Practice Address - Phone:713-340-0304
Practice Address - Fax:713-340-0306
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11013111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor