Organization
ROBERT J. FALCONER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J FALCONER M.D. (OWNER PHYSICIAN)
(903) 729-6010
Entity
Organization
Contact information
Practice address
123 MEDICAL DR, SUITE A, PALESTINE, TX 75801-8510
(903) 729-6010
(903) 729-6886
Mailing address
123 MEDICAL DR, SUITE A, PALESTINE, TX 75801-8510
(903) 729-6010
(903) 729-6886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L4830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032JJ
BCBS TX PROVIDER #
TX
05
—
154185601
—
TX
Enumeration date
03/06/2007
Last updated
11/02/2007
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