Individual
DR. ROBERT M RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-2850
(903) 614-6349
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
F7096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038077601
—
TX
01
—
1710967146
NPI
—
01
—
P00063095
RR MEDICARE
TX
Enumeration date
01/20/2006
Last updated
11/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us