Organization
ROBERT R IPPOLITO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R IPPOLITO MD (MANAGING PARTNER)
(972) 867-2731
Entity
Organization
Contact information
Practice address
9 MEDICAL PKWY, SUITE 102, DALLAS, TX 75234-7858
(972) 919-4747
(972) 919-4749
Mailing address
9221 LBJ FWY, SUITE 208, DALLAS, TX 75243-3455
(972) 644-8577
(972) 644-8577
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182655401
—
TX
Enumeration date
05/27/2006
Last updated
08/04/2008
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