MEDICARE: DR. ROBERT MATHEW HEIN MD

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
1	208VP0014X	Interventional Pain Medicine Physician	M6182	TX
2	207QS0010X	Sports Medicine (Family Medicine) Physician	M6182	TX
3	207Q00000X	Family Medicine Physician	M6182	TX

General Provider Information

NPI Number	:	1215148838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MATHEW HEIN MD

Provider Business Mailing Address
First Line	:	4307 PORTALES CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3424
Country	:	US
Telephone Number	:	817-300-3985
Fax Number	:

Provider Business Practice Location Address
First Line	:	4307 PORTALES CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-3424
Country	:	US
Telephone Number	:	817-300-3985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	07/28/2023

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