Provider Demographics
NPI:1154376473
Name:FEHER, RICHARD S (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:FEHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 B JOHN STOCKBAUER
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904
Mailing Address - Country:US
Mailing Address - Phone:361-576-9156
Mailing Address - Fax:361-578-0250
Practice Address - Street 1:5005 B JOHN STOCKBAUER
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904
Practice Address - Country:US
Practice Address - Phone:361-576-9156
Practice Address - Fax:361-578-0250
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4611980OtherAETNA
U40805Medicare UPIN
TX605155Medicare ID - Type Unspecified