Cantrell, Robert Lorin

Cantrell, Robert Lorin is an individual health care provider with primary practice located at 9202 Elam Rd Southeast Dallas Health Center, Dallas TX 75217-4151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cantrell, Robert Lorin can be contacted via phone (214) 266-1600.

Contact Information

Primary practice address
9202 Elam Rd Southeast Dallas Health Center Dallas TX 75217-4151
Fax: (214) 266-1790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F6504 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 83173 New Mexico

Profile Details

NPI number 1144225822
LBN Legal business name Cantrell, Robert Lorin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Dec 20th, 2012 - about 13 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 1144225822 NPPES
New Mexico MEDICAID 25460

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