Martin, Robert Tate
Martin, Robert Tate is an individual health care provider with primary practice located at 1811 E Bert Kouns Industrial Loop # 210 , Shreveport LA 71105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Martin, Robert Tate can be contacted via phone (318) 212-3858.Contact Information
Primary practice address
1811 E Bert Kouns Industrial Loop # 210
Shreveport LA 71105
Phone: (318) 212-3858
Fax: (318) 212-3958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L#021109 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L#021109 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.021109 | Louisiana |
Profile Details
| NPI number | 1801886585 |
|---|---|
| LBN Legal business name | Martin, Robert Tate |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 8th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801886585 | NPPES |
| Arkansas | MEDICAID | 132212001 | |
| Arkansas | MEDICAID | 057726401 | |
| Arkansas | MEDICAID | 1017159 | |
| Arkansas | Other | 060053256 |
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