Individual
ROBERT E BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75061-2225
(972) 438-4636
(972) 438-6585
Mailing address
2120 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75061-2260
(972) 438-4636
(972) 438-6585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G7161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123142501
—
TX
01
—
200020098
RAILROAD MEDICARE
TX
01
—
3076087
CIGNA
TX
01
—
88Y420
BLUE CROSS
TX
Enumeration date
06/02/2006
Last updated
06/17/2014
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