Provider Demographics
NPI:1023622651
Name:DOC HEALTHCARE, P.A.
Entity type:Organization
Organization Name:DOC HEALTHCARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:979-571-1967
Mailing Address - Street 1:18395 ANASAZI BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6158
Mailing Address - Country:US
Mailing Address - Phone:979-571-1967
Mailing Address - Fax:979-256-0869
Practice Address - Street 1:18395 ANASAZI BLUFF DR
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6158
Practice Address - Country:US
Practice Address - Phone:979-571-1967
Practice Address - Fax:979-256-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care