Richard A Speedlin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F9113 Issued in TX

Practice address

1200 Brooklyn Ave
Suite 130
San Antonio, TX 78212-9086

Phone

(210) 225-3116

Fax

(210) 212-7866

NPI assigned

Sep 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1144415316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15886",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782129086",
            "telephone_number": "210-225-3116",
            "fax_number": "210-212-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782129086",
            "telephone_number": "210-225-3116",
            "fax_number": "210-212-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEEDLIN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033684401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speech and Language Therapy Services, PLLC
• Speech Circles LLC
• Speech Launch LLC
• Speech Web Home Care, LLC
• Laurie Renee Speed
• Kermit Speeg Jr., M.D.
• Rachelle Janelle Speer, SP
• Zachary Speer
• Marga Speicher, PHD, LCSW
• Peter Joseph Speicher, M.D.

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.