Healthcare Provider Details

I. General information

NPI: 1649853763
Provider Name (Legal Business Name): ROBERT XAVIER FRENCH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 06/06/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 THREE LAKES PARKWAY STE. 200
TYLER TX
75703
US

IV. Provider business mailing address

2208 THREE LAKES PARKWAY STE. 200
TYLER TX
75703
US

V. Phone/Fax

Practice location:
  • Phone: 903-594-2148
  • Fax:
Mailing address:
  • Phone: 903-594-2148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberU8981
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: