MEDICARE: ROBERT T GARBACZ D.O.

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
1	207N00000X	Dermatology Physician	G8599	TX

General Provider Information

NPI Number	:	1134107360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT T GARBACZ D.O.

Provider Business Mailing Address
First Line	:	5 EUREKA CIR STE D
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2900
Country	:	US
Telephone Number	:	940-767-3376
Fax Number	:	940-767-1013

Provider Business Practice Location Address
First Line	:	5 EUREKA CIR STE D
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76308-2900
Country	:	US
Telephone Number	:	940-767-3376
Fax Number	:	940-767-1013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	07/08/2022

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