Robert James Dougherty Mdpa

LBN: Robert James Dougherty Mdpa
Robert James Dougherty Mdpa is an health care organization with primary practice located at 441 Highway 71 W Suite B-1, Bastrop TX 78602-3931. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert James Dougherty Mdpa can be contacted via phone (512) 581-5016, or through Dougherty, Robert via phone (512) 581-5016.

Contact Information

Primary practice address
441 Highway 71 W Suite B-1 Bastrop TX 78602-3931
Fax: (512) 581-5022
Website:
Authorized official contact:
Name: Dougherty, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L2226 Texas

Profile Details

NPI number 1053561761
LBN Legal business name Robert James Dougherty Mdpa
DBA Doing business as
Authorized official Dougherty, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 30th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053561761 NPPES
Texas MEDICAID 147638403

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