Provider Demographics
NPI:1104936178
Name:KAURA, RICHARD LEE JR (DO)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:LEE
Last Name:KAURA
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 SEABOROUGH LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-9018
Mailing Address - Country:US
Mailing Address - Phone:281-844-2729
Mailing Address - Fax:
Practice Address - Street 1:418 SEABOROUGH LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-9018
Practice Address - Country:US
Practice Address - Phone:281-334-6886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8167207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129004101Medicaid
TX129004101Medicaid
TX85161HMedicare ID - Type Unspecified