Individual
DR. ROBERT ALFRED SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1323 HAZEL ST, TEXARKANA, TX 75501-4434
(903) 794-1226
(903) 794-1226
Mailing address
1323 HAZEL ST, TEXARKANA, TX 75501-4434
(903) 794-1226
(903) 794-1226
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
C5304
AR
207RG0100X
Gastroenterology Physician
Primary
G2850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00SW92
TEXAS BC/BS
TX
01
—
54896
AR BC/BS
AR
Enumeration date
08/31/2006
Last updated
07/08/2007
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