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NPI Code Detail

MEDICARE: MR. ROBERT DUANE EPPS R.PH.

MEDICARE: MR. ROBERT DUANE EPPS R.PH.
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
11835X0200XOncology Pharmacist25047TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14592374OTHERTXNCPDP

General Provider Information

NPI Number : 1962573378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT DUANE EPPS R.PH.
Provider Business Mailing Address
First Line : 211 MOLLY LN
Second Line :
City : MINEOLA
State : TX
Zip : 75773-1317
Country : US
Telephone Number : 903-569-2961
Fax Number :
Provider Business Practice Location Address
First Line : 910 E HOUSTON ST STE 100
Second Line :
City : TYLER
State : TX
Zip : 75702-8363
Country : US
Telephone Number : 903-579-9800
Fax Number : 903-592-2811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/08/2007

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Directions to “ MR. ROBERT DUANE EPPS R.PH.” Practice Location

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