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NPI Code Detail

MEDICARE: ROBERT IAN MYERS, MD, PA

MEDICARE: ROBERT IAN MYERS, MD, PA
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 PhysicianG9170TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18CW431OTHERTXBCBS

General Provider Information

NPI Number : 1366730459
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT IAN MYERS, MD, PA
Provider Business Mailing Address
First Line : 3600 GASTON AVE
Second Line : SUITE 508
City : DALLAS
State : TX
Zip : 75246-1805
Country : US
Telephone Number : 214-824-4585
Fax Number : 214-824-0917
Provider Business Practice Location Address
First Line : 3600 GASTON AVE
Second Line : SUITE 508
City : DALLAS
State : TX
Zip : 75246-1805
Country : US
Telephone Number : 214-824-4585
Fax Number : 214-824-0917
Authorized Official
Title or Position : MANAGER
Name : MS. LYNN SPARROW
Credential :
Telephone Number : 214-823-2373
Provider Enumeration Date : 07/11/2011
Last Update Date : 04/19/2012

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Directions to “ROBERT IAN MYERS, MD, PA ” Practice Location

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