Provider Demographics
NPI:1215426267
Name:RICHTER, HERMAN
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:
Last Name:RICHTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MARY LOU DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2619
Mailing Address - Country:US
Mailing Address - Phone:830-469-9830
Mailing Address - Fax:
Practice Address - Street 1:303 MARY LOU DR UNIT B
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-2619
Practice Address - Country:US
Practice Address - Phone:830-469-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX888433163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse