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NPI Code Detail

MEDICARE: ROBERT R PERRY MD

MEDICARE:   ROBERT R PERRY  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
1207Q00000XFamily Medicine PhysicianJ8712TX

General Provider Information

NPI Number : 1841272481
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R PERRY MD
Provider Business Mailing Address
First Line : 880 PROSPECTOR TRL
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2700
Country : US
Telephone Number : 903-352-0007
Fax Number : 254-300-9939
Provider Business Practice Location Address
First Line : 880 PROSPECTOR TRL
Second Line : STE 200
City : HARKER HEIGHTS
State : TX
Zip : 76548-2700
Country : US
Telephone Number : 254-690-1475
Fax Number : 254-690-6372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 08/19/2014

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Directions to “ ROBERT R PERRY MD” Practice Location

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