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Individual
DR. ROBERT W FREDERICK
Active
Individual
DR. ROBERT W FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
K7155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145418306
—
TX
05
—
145418307
—
TX
05
—
145418308
—
TX
01
—
75-2616977-007
TRICARE-DOUGLAS
TX
01
—
75-2616977-029
TRICARE
TX
01
—
75-2616977-126
TRICARE
TX
01
—
752616977029
TRICARE ATHENS LOCATION
TX
Enumeration date
02/14/2006
Last updated
07/11/2018
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