Individual
DR. ROBERT IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 MEDICAL PKWY STE 102, DALLAS, TX 75234-7852
(214) 553-3323
(214) 553-3308
Mailing address
9221 LBJ FWY, SUITE 208, DALLAS, TX 75243-3455
(972) 644-8577
(972) 644-8577
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
H9653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063EQ
BC/BS
TX
05
—
096867902
—
TX
05
—
096867903
—
TX
01
—
MDH9653
WORKERS COMPENSATIONS
TX
Enumeration date
05/10/2006
Last updated
08/04/2008
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