Warren, Robert Eric

Warren, Robert Eric is an individual health care provider with primary practice located at 1201 Summit Ave , Fort Worth TX 76102-4427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Warren, Robert Eric can be contacted via phone (817) 332-2020.

Contact Information

Primary practice address
1201 Summit Ave Fort Worth TX 76102-4427
Fax: (817) 332-4797
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K4829 Texas

Profile Details

NPI number 1457357584
LBN Legal business name Warren, Robert Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated May 13th, 2014 - about 10 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 1457357584 NPPES
Texas MEDICAID 102093501
Texas MEDICAID 102093502
Texas Other 8553J3

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