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NPI Code Detail

MEDICARE: DR. HENRY P LOBSTEIN M.D.

MEDICARE:  DR. HENRY P LOBSTEIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianD3317TX
2207RI0011XInterventional Cardiology PhysicianD3317TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14110720OTHERAETNA PROVIDER ID
286463KOTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
410013094OTHERTXAMERIGROUP
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104876879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY P LOBSTEIN M.D.
Provider Business Mailing Address
First Line : 1017 12TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3915
Country : US
Telephone Number : 817-334-2800
Fax Number : 817-336-1954
Provider Business Practice Location Address
First Line : 1017 12TH AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3915
Country : US
Telephone Number : 817-334-2800
Fax Number : 817-336-1954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 02/02/2010

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Directions to “ DR. HENRY P LOBSTEIN M.D.” Practice Location

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