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Individual
DR. ROBERT JOSEPH VODVARKA
Active
Individual
DR. ROBERT JOSEPH VODVARKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2057TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00386V
MEDICARE GROUP NUMBER
TX
01
—
1669653051
ORGANIZATION NPI
TX
01
—
410033055
RAILROAD PROVIDER NUMBER
TX
Enumeration date
12/07/2005
Last updated
02/10/2011
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