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Contact Information

RICHARD L WASSERMAN, MD, PHD
7777 FOREST LN
SUITE B-332
DALLAS, TX75230-2571
 Phone: 972-566-7788
 Fax: 972-566-8837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for RICHARD L WASSERMAN · (Male)

NPI # 1346234614
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 09/01/2005
Last updated 11/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G4068
  • TX Medicaid 1346234614
  • TX Other 397487ZM3L MEDICARE PTAN
  • TX Other 940841 MEDICARE PTAN
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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