Individual
DR. ROBERT BRANDON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12709 TOEPPERWEIN RD, SUITE 302, LIVE OAK, TX 78233-3258
(210) 653-9307
(210) 653-7014
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 653-9307
(210) 653-7014
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N1672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208888204
—
UT
01
—
208888205
CSHCN
TX
01
—
8DV049
BCBS
TX
Enumeration date
07/01/2008
Last updated
02/09/2022
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