Individual
DR. ROBERT LARRY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W. COLLEGE, SUITE 440, GRAPEVINE, TX 76051-3584
(817) 481-9480
(817) 481-2723
Mailing address
1600 W. COLLEGE, SUITE 440, GRAPEVINE, TX 76051-3584
(817) 481-9480
(817) 481-2723
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J5314
TX
Other
Enumeration date
06/23/2006
Last updated
10/22/2008
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