Individual
DR. ROBERT JOSEPH NETTUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5773 IMPALA SOUTH ROAD, ATHENS, TX 75752-6053
(903) 681-4840
Mailing address
5773 IMPALA SOUTH ROAD, ATHENS, TX 75752-6053
(903) 681-4840
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F8591
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0456290
UNITED HEALTH CARE
—
05
—
082217301
—
TX
01
—
2217840
CIGNA
—
01
—
4412054
AETNA
—
01
—
88E866
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/30/2006
Last updated
10/20/2022
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