Gammon, Robert Bruce

Gammon, Robert Bruce is an individual health care provider with primary practice located at 4510 Medical Center Dr Ste 312 , Mckinney TX 75069-1604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gammon, Robert Bruce can be contacted via phone (972) 542-2186.

Contact Information

Primary practice address
4510 Medical Center Dr Ste 312 Mckinney TX 75069-1604
Fax: (972) 542-1210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G8844 Texas

Profile Details

NPI number 1154308070
LBN Legal business name Gammon, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 17th, 2020 - 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 1154308070 NPPES
Texas MEDICAID 044589201

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