Provider Demographics
NPI:1427332154
Name:NORTH, RICHARD RALPH (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:RALPH
Last Name:NORTH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15250 PRESTONWOOD BLVD
Mailing Address - Street 2:APT 251
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-4791
Mailing Address - Country:US
Mailing Address - Phone:972-385-9880
Mailing Address - Fax:
Practice Address - Street 1:15350 PRESTONWOOD BLVD
Practice Address - Street 2:APT 251
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248
Practice Address - Country:US
Practice Address - Phone:972-566-7684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD37782084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology