Individual
DR. ROBERT GARY MENNEL
Active
Individual
DR. ROBERT GARY MENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
F6039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138667402
—
TX
05
—
138667403
—
TX
05
—
138667404
—
TX
05
—
138667405
—
TX
05
—
138667406
—
TX
05
—
138667407
—
TX
05
—
138667410
—
TX
05
—
138667412
—
TX
05
—
138667414
—
TX
01
—
8R1504
BLUE CROSS OF TX
TX
Enumeration date
06/14/2006
Last updated
10/26/2011
Update your record
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