Provider Demographics
NPI:1104921857
Name:SYKES, JOHN RICHARDSON (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RICHARDSON
Last Name:SYKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:RICHARDSON
Other - Last Name:SYKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3423 COURTYARD CIR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3777
Mailing Address - Country:US
Mailing Address - Phone:972-247-9946
Mailing Address - Fax:972-247-9388
Practice Address - Street 1:3423 COURTYARD CIR
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3777
Practice Address - Country:US
Practice Address - Phone:972-247-9946
Practice Address - Fax:972-247-9388
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0688207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF43414Medicare UPIN
TX00J11YMedicare ID - Type Unspecified