MEDICARE: ROBERT MCFAUL DO

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	2086S0129X	Vascular Surgery Physician	F9800	TX

General Provider Information

NPI Number	:	1336148642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MCFAUL DO

Provider Business Mailing Address
First Line	:	1501 W 11TH PL
Second Line	:	SUITE 102
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4119
Country	:	US
Telephone Number	:	432-263-6018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 W 11TH PL
Second Line	:	SUITE 102
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4119
Country	:	US
Telephone Number	:	432-263-6018
Fax Number	:

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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