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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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