Radosta, Robert David

Radosta, Robert David is an individual health care provider with primary practice located at 206 S Rogers St Suite 205, Waxahachie TX 75168-8716. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Radosta, Robert David can be contacted via phone (972) 816-8772.

Contact Information

Primary practice address
206 S Rogers St Suite 205 Waxahachie TX 75168-8716
Phone: (972) 816-8772
Fax: (972) 617-0007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11360800 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2991 Texas

Profile Details

NPI number 1104991165
LBN Legal business name Radosta, Robert David
Credentials EDD MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1104991165 NPPES
Texas MEDICAID 0952665

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