Individual
ROBERT T MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4406 N LAURENT, VICTORIA, TX 77901-2791
(361) 578-0107
(361) 578-1320
Mailing address
4406 N LAURENT, VICTORIA, TX 77901-2791
(361) 578-0107
(361) 578-1320
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F2350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0880170001
CIGNA GOVERNMENT SUPPLIER NUMBER
TX
05
—
089611003
—
TX
Enumeration date
11/09/2005
Last updated
08/26/2008
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