Healthcare Provider Details

I. General information

NPI: 1306914148
Provider Name (Legal Business Name): ROBERT DAVID URE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4738 LITTLE ROAD
ARLINGTON TX
76017
US

IV. Provider business mailing address

4738 LITTLE ROAD
ARLINGTON TX
76017
US

V. Phone/Fax

Practice location:
  • Phone: 817-483-8599
  • Fax: 817-483-2440
Mailing address:
  • Phone: 817-483-8599
  • Fax: 817-483-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberF2978
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: