Robert G Anderson
Plastic and Reconstructive Surgery
800 12th Ave Ste 100
Fort Worth
, Texas 76104-2519
Robert G Anderson
Plastic and Reconstructive Surgery
800 12th Ave Ste 100
Fort Worth
, Texas 76104-2519
(817) 820-0242
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Robert G Anderson
- 800 12th Ave Ste 100
- Fort Worth, TX
- Zip : 76104-2519
- Fax : (817) 820-0242
- Phone : (817) 810-0770
Second Address
- Robert G Anderson
- 800 12th Ave Ste 100
- Fort Worth, TX
- Zip : 76104-2519
- Fax : (817) 820-0242
- Phone : (817) 810-0770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | E4176 | TX |
National Provider Identifier
| NPI | 1326064270 |
|---|---|
| Provider Name | Robert G Anderson |
| First Address | Fort Worth, TX 76104-2519 |
| Second Address | Fort Worth, TX 76104-2519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2006 |
| Last Update Date | 13/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 240008036 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.