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General NPI Number Information
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NPI Number | 1588662456
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Entity Type | Individual
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Provider Name | ROBERT E ENGELHART DO
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 181 W MEADOW DR
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City | VAIL
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State | CO
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Zip | 81657
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Country | US
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Telephone | 970-476-2451
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Fax | 817-877-0350
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Provider Business Mailing Address
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Address Line | 4100 INTERNATIONAL PLZ STE 600
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City | FORT WORTH
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State | TX
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Zip | 76109-4823
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Country | US
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Telephone | 817-334-0530
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Fax | 817-877-0350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 34007108
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0050828
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License Number State | CO
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