MEDICARE: ROBERT J LOVETT MD

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	208600000X	Surgery Physician	D9551	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020054591	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285651877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J LOVETT MD

Provider Business Mailing Address
First Line	:	PO BOX 961205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-1205
Country	:	US
Telephone Number	:	817-740-8400
Fax Number	:	817-263-3702

Provider Business Practice Location Address
First Line	:	6100 HARRIS PARKWAY
Second Line	:	SUITE 275
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6110
Country	:	US
Telephone Number	:	817-263-3700
Fax Number	:	817-263-3702

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/30/2011

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Directions to “ ROBERT J LOVETT MD” Practice Location

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