Individual
DR. ROBERT JEFFERY EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G7057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064776
RAILROAD
TX
05
—
128685801
—
TX
05
—
128685802
—
TX
05
—
128685807
—
TX
05
—
128685808
—
TX
01
—
128685809
MEDICAID CSHCN
TX
01
—
128685810
MEDICAID CSHCN
TX
01
—
83772K
BCBS
TX
Enumeration date
12/23/2005
Last updated
06/07/2018
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