Individual
MR. ROBERT RYAN DISOTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
2604 SAINT MICHAEL DR STE 340, TEXARKANA, TX 75503-2378
(903) 614-5117
Mailing address
202 QUAIL LN, WAKE VILLAGE, TX 75501-5722
(870) 292-9960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A03684
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1994
TX LICENSE
TX
01
—
A03684
LICENSE
AR
Enumeration date
04/09/2012
Last updated
04/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us