Individual
DR. ROBERT GARY MENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1026
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
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
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