Anderson, Robert Dale

Anderson, Robert Dale is an individual health care provider with primary practice located at 1300 W Terrell Ave #500, Fort Worth TX 76104-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Anderson, Robert Dale can be contacted via phone (817) 252-5000.

Contact Information

Primary practice address
1300 W Terrell Ave #500 Fort Worth TX 76104-2800
Phone: (817) 252-5000
Fax: (817) 252-5060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X H2211 Texas

Profile Details

NPI number 1063409001
LBN Legal business name Anderson, Robert Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063409001 NPPES
Texas Other P00246112 RAIL ROAD MEDICARE
Texas MEDICAID 1326811-02 RAIL ROAD MEDICARE
Texas Other 85V815 RAIL ROAD MEDICARE

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