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NPI Code Detail

MEDICARE: ROBERT THOMAS DEWAR

MEDICARE: ROBERT THOMAS DEWAR
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
1207R00000XInternal Medicine PhysicianT0076TX

General Provider Information

NPI Number : 1235592429
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT THOMAS DEWAR
Provider Business Mailing Address
First Line : 226 W 14TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-7201
Country : US
Telephone Number : 817-913-0933
Fax Number :
Provider Business Practice Location Address
First Line : 3417 GASTON AVE STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75246-2037
Country : US
Telephone Number : 469-800-9000
Fax Number : 469-800-9010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 07/01/2025

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