Individual
ROBERT M GULLINESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(817) 596-8751
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L4959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090KW
BCBS
TX
05
—
155951008
—
TX
Enumeration date
06/06/2006
Last updated
01/16/2013
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