Individual
ROBERT J FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 MEDICAL DR, SUITE A, PALESTINE, TX 75801-8510
(903) 729-6010
(903) 729-6886
Mailing address
123 MEDICAL DR, SUITE A, PALESTINE, TX 75801-8510
(903) 729-6010
(903) 729-6886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4830
TX
2086S0129X
Vascular Surgery Physician
L4830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154186401
—
TX
Enumeration date
04/12/2006
Last updated
11/02/2007
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