Organization
ROBERT D. MENZIES, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID MENZIES M.D. (OWNER)
(817) 294-0934
Entity
Organization
Contact information
Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
M3643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196007201
—
TX
Enumeration date
07/15/2013
Last updated
07/15/2013
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