Anderson, Robert Douglas

Anderson, Robert Douglas is an individual health care provider with primary practice located at 3417 Gaston Avenue Suite 790, Dallas TX 75246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Anderson, Robert Douglas can be contacted via phone (214) 821-5266.

Contact Information

Primary practice address
3417 Gaston Avenue Suite 790 Dallas TX 75246
Phone: (214) 821-5266
Fax: (214) 821-0459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X L6261 Texas

Profile Details

NPI number 1861514929
LBN Legal business name Anderson, Robert Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 25th, 2019 - about 6 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 1861514929 NPPES
Texas Other 8G9576 BCBSTX
Texas MEDICAID 132681107 BCBSTX

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