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
1	207Q00000X	Family Medicine Physician	J8712	TX

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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