MEDICARE: DR. ROBERT BISBEE 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	207R00000X	Internal Medicine Physician	J8461	TX

General Provider Information

NPI Number	:	1750384806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BISBEE MD

Provider Business Mailing Address
First Line	:	5219 CITY BANK PKWY STE 214
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79407-3537
Country	:	US
Telephone Number	:	806-781-0360
Fax Number	:	806-782-0097

Provider Business Practice Location Address
First Line	:	808 JOLIET AVE UNIT 120
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79415-1148
Country	:	US
Telephone Number	:	806-761-0540
Fax Number	:	806-761-0451

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/10/2017

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