DR. RICHARD P PETRI JR. (NPI# 1962450213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450213 |
| Entity Type | Individual |
| Full Name | DR. RICHARD P PETRI JR. |
| Credential | M.D. |
| Practice Address |
6301 La Posta Dr El Paso TX 79912-1863 |
| Practice Telephone | 9153422088 |
| Mailing Telephone | 9153422088 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | S3567 | TX | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 35103 | WI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | S3567 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6301 LA POSTA DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1023580925 | Esperanza Medical and Wellness | General Practice | 12102 Montwood Dr Ste F, El Paso, TX 79936-4570 | 2018-12-18 |
| 1386177400 | Luis Rochin | General Practice | 3215 Gateway Blvd W Ste B, El Paso, TX 79903-4225 | 2017-04-05 |
| 1881041689 | Colin Patrick Martyn | General Practice | 13001 Eastlake Blvd Ste 105, El Paso, TX 79928-6312 | 2016-05-21 |
| 1437512506 | Chirag Acharya | General Practice | 5501 N Stanton St Apt 6, El Paso, TX 79912 | 2016-04-05 |
| 1851773907 | Remigio Flor | General Practice | Wbamc, 5005 N Piedras St, Mchm-dos-gsr, El Paso, TX 79920-5001 | 2015-06-25 |
| 1821483322 | Cesar Siska | General Practice | 1409 Likins, El Paso, TX 79925-7992 | 2015-04-01 |
| 1245644673 | Robert Jessie Atchison | General Practice | 5005 N. Piedras St. Attn: Gme, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2014-06-13 |
| 1043548514 | Saw San | General Practice | Soldiers Family Medical Clinic -11th Abd Bde Surgeon, Fort Bliss, El Paso, TX 79916 | 2009-11-21 |
| 1124277629 | Denise Lavette Deshields | General Practice | 3901 State Jail Rd, El Paso, TX 79938-8465 | 2008-09-09 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.