Ridout, Robert M

Ridout, Robert M is an individual health care provider with primary practice located at 2600 Saint Michael Dr , Texarkana TX 75503-2372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ridout, Robert M can be contacted via phone (903) 614-2850.

Contact Information

Primary practice address
2600 Saint Michael Dr Texarkana TX 75503-2372
Fax: (903) 614-6349
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X F7096 Texas

Profile Details

NPI number 1710967146
LBN Legal business name Ridout, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Nov 30th, 2020 - about 5 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 1710967146 NPPES
Other 1710967146 NPI
Other P00063095 NPI
MEDICAID 038077601 NPI

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