DR. PRINCE RICHARDSON LEMUEL ERNEST MD
NPI 1710595350
Student in an Organized Health Care Education/Training Program in Odessa, TX

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 20, 2020PECOS Enrolled

701 W 5TH ST, ODESSA, TX 79763(346) 269-7648 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Dr. Prince Richardson Lemuel Ernest Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRINCE RICHARDSON LEMUEL ERNEST MD (NPI 1710595350) is an individual student in an organized health care education/training program in Odessa, Texas, licensed in Texas (BP10071178) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710595350

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PRINCE RICHARDSON LEMUEL ERNESTCredential: MD

Location Address701 W 5TH STOdessa, TX 79763-4206

Mailing Address701 W 5th St Ste 1229Odessa, TX 79763-4206 · (346) 269-7648

Phone(346) 269-7648

Sole ProprietorNo

Enumeration DateJuly 20, 2020

Last NPPES UpdateJuly 21, 2020

NPPES CertifiedJuly 21, 2020

✔ NPI 1710595350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10071178

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

701 W 5TH ST, Odessa, TX 79763

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prince Richardson Lemuel Ernest Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.