Individual
ROBERT M SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 OLYMPIC PLAZA CIR, STE 404, TYLER, TX 75701-1955
(903) 593-1738
(903) 596-7852
Mailing address
PO BOX 7939, TYLER, TX 75711-7939
(903) 593-1738
(903) 596-7852
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
L5579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154168201
—
TX
Enumeration date
05/24/2005
Last updated
10/01/2013
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