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NPI 1760461685

NPI 1760461685 : LEO JOSEPH ROBB III DO : COLLEYVILLE, TX

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General NPI Number Information
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    NPI Number           |    1760461685
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    Entity Type          |    Individual 
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    Provider Name        |    LEO JOSEPH ROBB III DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2006
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    6515 COLLEYVILLE BLVD 
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-6231
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    Country              |    US
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    Telephone            |    682-593-7639
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    Fax                  |    682-593-0739
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Provider Business Mailing Address
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    Address Line         |    6515 COLLEYVILLE BLVD 
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    City                 |    COLLEYVILLE
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    State                |    TX
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    Zip                  |    76034-6231
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    Country              |    US
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    Telephone            |    682-593-7639
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    Fax                  |    682-593-0739
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    V5123
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OS12617
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    License Number State |    FL
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