Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | E3755 | TX |
NPI | 1023091873 |
---|---|
Provider Name | Dr. Robert Ralph Springer |
First Address | Waco, TX 76712-3786 |
Second Address | Waco, TX 76712-3786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 07/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128516506 | (05) | TX |
128516506 | SUPERIOR HEALTH CHIPS (01) | TX |
742865556 | HUMANA/MILITARY-TRICARE (01) | TX |
8298B6 | BLUE CROSS BLUE SHIELD (01) | TX |
C22138 | (02) | |
P00083085 | MEDICARE RAILROAD (01) | TX |