Black, Robert D
Black, Robert D is an individual health care provider with primary practice located at 3600 Gaston Avenue Suite 806, Dallas TX 75246-1808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Black, Robert D can be contacted via phone (214) 824-8521.Contact Information
Primary practice address
3600 Gaston Avenue Suite 806
Dallas TX 75246-1808
Phone: (214) 824-8521
Fax: (214) 827-8840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | F6448 | Texas |
Profile Details
| NPI number | 1902808827 |
|---|---|
| LBN Legal business name | Black, Robert D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | May 31st, 2023 - about last year |
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 | 1902808827 | NPPES |
| Texas | MEDICAID | 099771002 |
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