Individual
DR. ROBERT B GENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6451 BRENTWOOD STAIR., STE. 200, FORT WORTH, TX 76112
(817) 507-1770
Mailing address
6451 BRENTWOOD STAIR., STE. 200, FORT WORTH, TX 76112
(817) 507-1770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J9047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091LG
BCBS
TX
05
—
125160503
—
TX
05
—
125160504
—
TX
05
—
125160505
—
TX
01
—
84253F
BCBS
TX
01
—
84937K
BCBS
TX
01
—
930044554
MEDICARE RAILROAD
TX
01
—
930069012
RAILROAD
TX
Enumeration date
12/15/2005
Last updated
02/14/2008
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