Individual
ROBERT FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
13027 STATE HIGHWAY 155 S, TYLER, TX 75703-6548
(903) 839-1000
Mailing address
13027 STATE HIGHWAY 155 S, TYLER, TX 75703-6548
(903) 839-1000
(903) 630-8048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
728909
TX
Other
Enumeration date
11/04/2015
Last updated
01/13/2017
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