Individual
DR. ROBERT P ANDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 MATLOCK RD, ARLINGTON, TX 76015-2908
(972) 758-3523
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K3669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117718001
—
TX
05
—
117718002
—
TX
05
—
117718004
—
TX
05
—
117718013
—
TX
01
—
82340J
BCBS
TX
01
—
82360J
BCBS
TX
01
—
8B7002
BCBS
TX
01
—
930080743
RAILROAD
TX
01
—
930080784
RAILROAD
TX
01
—
930115385
MEDICARE RAILROAD
TX
Enumeration date
12/14/2005
Last updated
09/22/2011
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