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NPI Code Detail

MEDICARE: ROBERT JOHN MACHOS M.D.

MEDICARE:   ROBERT JOHN MACHOS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG3576TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110094181OTHERTXRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1205878394
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JOHN MACHOS M.D.
Provider Business Mailing Address
First Line : 800 5TH AVE
Second Line : SUITE 300
City : FORT WORTH
State : TX
Zip : 76104-7300
Country : US
Telephone Number : 817-334-1400
Fax Number : 817-334-1410
Provider Business Practice Location Address
First Line : 800 5TH AVE
Second Line : SUITE 300
City : FORT WORTH
State : TX
Zip : 76104-7300
Country : US
Telephone Number : 817-334-1400
Fax Number : 817-334-1410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 06/06/2013

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Directions to “ ROBERT JOHN MACHOS M.D.” Practice Location

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