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Individual
ROBERT C PALMER
Active
Individual
ROBERT C PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
573147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164492963
TRICRE SOUTH
TX
05
—
147691303
—
TX
05
—
147691304
—
TX
05
—
147691305
—
TX
01
—
500026141
RAILROAD MEDICARE PROV #
TX
01
—
8N2841
BC/BS PROVIDER NUMBER
TX
Enumeration date
01/24/2006
Last updated
04/16/2010
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