Individual
ROBERT GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3506 21ST ST STE 203, LUBBOCK, TX 79410-1211
(806) 725-4805
(806) 723-7076
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101232423
VA
207XX0801X
Orthopaedic Trauma Physician
Primary
F4038
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278542100
—
FL
01
—
310441
AVMED
FL
05
—
325041701
—
TX
05
—
44670320
—
NM
01
—
8DV968
BCBS TX
TX
01
—
950008100
FIRSTCARE
TX
01
—
96135
BC/BS
FL
01
—
P01228218
RAILROAD MEDICARE
TX
Enumeration date
03/29/2006
Last updated
03/28/2014
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