Sutherland, Robert M
Sutherland, Robert M is an sole proprietor health care provider with primary practice located at 700 Olympic Plaza Cir Ste 404, Tyler TX 75701-1955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Sutherland, Robert M can be contacted via phone (903) 593-1738.Contact Information
Primary practice address
700 Olympic Plaza Cir Ste 404
Tyler TX 75701-1955
Phone: (903) 593-1738
Fax: (903) 596-7852
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | L5579 | Texas |
Profile Details
NPI number | 1033112933 |
---|---|
LBN Legal business name | Sutherland, Robert M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 24th, 2005 |
Last updated | Oct 1st, 2013 - about 12 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 | 1033112933 | NPPES |
Texas | MEDICAID | 154168201 |
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