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RICHARD LAWRENCE WASSERMAN MD, PHD

Allergy and Immunology

Dallas, Texas

Provider NPI: 1346234614

Provider Information:
 RICHARD LAWRENCE WASSERMAN MD, PHD


Practice Location:
7777 FOREST LN SUITE B-332 DALLAS, TX 75230 US
Tel: 972-566-7788  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
TXG4068

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN397487ZM3JTX01
BCBS84Y47001
MEDICARE PTAN397487ZM3LTX01
120247505TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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