Provider Demographics
NPI:1366605016
Name:RICHWOOD MEDICAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:RICHWOOD MEDICAL MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-265-5400
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:CLUTE
Mailing Address - State:TX
Mailing Address - Zip Code:77531-0415
Mailing Address - Country:US
Mailing Address - Phone:979-265-5400
Mailing Address - Fax:281-271-8688
Practice Address - Street 1:3231 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4501
Practice Address - Country:US
Practice Address - Phone:979-529-9045
Practice Address - Fax:281-271-8688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology