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NPI Code Detail

MEDICARE: DR. ROBERT CONTRERAS M.D.

MEDICARE: DR. ROBERT CONTRERAS M.D.
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
1207Q00000XFamily Medicine PhysicianL6331TX

General Provider Information

NPI Number : 1538168364
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT CONTRERAS M.D.
Provider Business Mailing Address
First Line : 15810 MIDWAY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-4259
Country : US
Telephone Number : 972-458-8111
Fax Number : 972-458-7776
Provider Business Practice Location Address
First Line : 15810 MIDWAY RD
Second Line :
City : ADDISON
State : TX
Zip : 75001-4259
Country : US
Telephone Number : 972-458-8111
Fax Number : 972-458-7776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/15/2011

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Directions to “ DR. ROBERT CONTRERAS M.D.” Practice Location

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