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General NPI Number Information
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NPI Number | 1174754394
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Entity Type | Organization
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Legal Business Name | ROBERT L. TRUE, MD PA
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 08/05/2009
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Provider Practice Location Address
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Address Line | 5203 HERITAGE AVE
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5915
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Country | US
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Telephone | 817-399-8783
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Fax | 817-858-0302
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Provider Business Mailing Address
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Address Line | 5203 HERITAGE AVE
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5915
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Country | US
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Telephone | 817-399-8783
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Fax | 817-858-0302
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. TAMS J HENDRICKS
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Credential |
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Telephone | 817-399-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | HO117
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License Number State | TX
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