Provider Demographics
NPI:1730257908
Name:KLICS, RICHARD F (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:KLICS
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:10601 WOLFCREEK LN
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-8421
Mailing Address - Country:US
Mailing Address - Phone:214-437-1804
Mailing Address - Fax:972-475-3017
Practice Address - Street 1:6830 WALLING LN
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7204
Practice Address - Country:US
Practice Address - Phone:214-221-9111
Practice Address - Fax:214-221-1905
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX7232111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor