Individual
ROBERT W PEDERSON
Active
Individual
ROBERT W PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
E1920
TX
207RI0011X
Interventional Cardiology Physician
Primary
E1920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1341851-03
—
TX
01
—
B25426
UPIN
—
Enumeration date
07/29/2005
Last updated
12/18/2015
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