Provider Demographics
NPI:1750343901
Name:RHODES, RICHARD D JR (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:RHODES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7715 SAN JACINTO PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3215
Mailing Address - Country:US
Mailing Address - Phone:469-209-8099
Mailing Address - Fax:972-618-4000
Practice Address - Street 1:7715 SAN JACINTO PL
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3215
Practice Address - Country:US
Practice Address - Phone:469-209-8099
Practice Address - Fax:972-618-4000
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2022-06-27
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Provider Licenses
StateLicense IDTaxonomies
TXN5970207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB115321Medicare PIN