MEDICARE: ROBERT G STONE 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
1	208600000X	Surgery Physician	D1072	TX

General Provider Information

NPI Number	:	1548510647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G STONE M.D.

Provider Business Mailing Address
First Line	:	8600 THACKERY ST APT 3106
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-3929
Country	:	US
Telephone Number	:	214-287-9940
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 THACKERY ST APT 3106
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-3929
Country	:	US
Telephone Number	:	214-287-9940
Fax Number	:

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

Provider Enumeration Date	:	09/16/2012
Last Update Date	:	06/10/2022

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