Individual
DR. ROBERT JOSEPH MEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4402 VANCE JACKSON RD, SUITE 220, SAN ANTONIO, TX 78230-5336
(210) 477-2409
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(210) 477-2409
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J5834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037590-04
—
TX
Enumeration date
11/07/2005
Last updated
08/02/2021
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