Individual
ROBERT P. PERRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 WORTH STREET, SUITE 860, DALLAS, TX 75246
(214) 820-8500
(214) 820-8168
Mailing address
3410 WORTH STREET, SUITE 860, DALLAS, TX 75246
(214) 820-8500
(214) 820-8168
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M4440
TX
207RI0008X
Hepatology Physician
M4440
TX
207RT0003X
Transplant Hepatology Physician
M4440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185732801
—
TX
05
—
185732802
—
TX
05
—
185732803
—
TX
01
—
8V2359
BCBSTX
TX
Enumeration date
07/12/2006
Last updated
03/31/2011
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