Individual
ROBERT DALE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W TERRELL AVE, #500, FORT WORTH, TX 76104-2800
(817) 252-5000
(817) 252-5060
Mailing address
1300 W TERRELL AVE, #500, FORT WORTH, TX 76104-2800
(817) 252-5000
(817) 252-5060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H2211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326811-02
—
TX
01
—
85V815
BLUE CROSS
TX
01
—
P00246112
RAIL ROAD MEDICARE
TX
Enumeration date
10/04/2005
Last updated
04/09/2008
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