Provider Demographics
NPI:1689672842
Name:PIZZINI, RICHARD A (DC, PA)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:PIZZINI
Suffix:
Gender:M
Credentials:DC, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 IH 10 S
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-4439
Mailing Address - Country:US
Mailing Address - Phone:409-840-4496
Mailing Address - Fax:409-840-4612
Practice Address - Street 1:1846 IH 10 S
Practice Address - Street 2:SUITE 102
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-4439
Practice Address - Country:US
Practice Address - Phone:409-840-4496
Practice Address - Fax:409-840-4612
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7251111N00000X
LA948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU39810Medicare UPIN