Provider Demographics
NPI:1932238011
Name:DECKER, RICHARD LEE
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:DECKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14657 SNEIDER ST
Mailing Address - Street 2:BLDG 1377
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5582
Mailing Address - Country:US
Mailing Address - Phone:281-929-2799
Mailing Address - Fax:281-929-2605
Practice Address - Street 1:14657 SNEIDER ST
Practice Address - Street 2:BLDG 1377
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5582
Practice Address - Country:US
Practice Address - Phone:281-929-2799
Practice Address - Fax:281-929-2605
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist