Provider Demographics
NPI:1902941065
Name:RICHARD HA MD PA
Entity Type:Organization
Organization Name:RICHARD HA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-818-0935
Mailing Address - Street 1:11970 N CENTRAL EXPY STE 270
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-3770
Mailing Address - Country:US
Mailing Address - Phone:214-818-0935
Mailing Address - Fax:214-887-3525
Practice Address - Street 1:11970 N CENTRAL EXPY STE 270
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3770
Practice Address - Country:US
Practice Address - Phone:214-818-0935
Practice Address - Fax:214-887-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK97952086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0031MBOtherBLUE CROSS BLUE SHIELD
TXK9795OtherMEDICAL LICENSE
TXH82896OtherUPIN
TXH82896OtherUPIN