Anderson, Robert G

Anderson, Robert G is an individual health care provider with primary practice located at 800 12Th Ave Ste 100 , Fort Worth TX 76104-2519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Anderson, Robert G can be contacted via phone (817) 810-0770.

Contact Information

Primary practice address
800 12Th Ave Ste 100 Fort Worth TX 76104-2519
Phone: (817) 810-0770
Fax: (817) 820-0242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X E4176 Texas

Profile Details

NPI number 1326064270
LBN Legal business name Anderson, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 13th, 2021 - about 4 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 1326064270 NPPES
Other 240008036 RAILROAD MEDICARE

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