Provider Demographics
NPI:1699735175
Name:SAUNDERS, RICHARD D (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:SAUNDERS
Suffix:
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 1:501 N YARBROUGH DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-3240
Mailing Address - Country:US
Mailing Address - Phone:915-595-1844
Mailing Address - Fax:915-599-1953
Practice Address - Street 1:501 N YARBROUGH DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-3240
Practice Address - Country:US
Practice Address - Phone:915-595-1844
Practice Address - Fax:915-599-1953
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0787207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133037512Medicaid
TXTXB126348OtherWELLMED PTAN
NM66597Medicaid
TX133037511Medicaid
TX133037512Medicaid
TX8G3301Medicare ID - Type Unspecified
TXA67598Medicare UPIN