Individual
DR. ROBERT WARREN FELDTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W. COLORADO SUITE 625, DFW VASCULAR LLP, DALLAS, TX 75208
(214) 946-5165
Mailing address
221 W. COLORADO SUITE 625, DFW VASCULAR LLP, DALLAS, TX 75208
(214) 946-5165
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
E9498
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
E9498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313835-07
—
TX
01
—
1313835-08
CSHCN
TX
01
—
8J9878
BLUE SHIELD
TX
01
—
P00105588
RR/MEDICARE
TX
Enumeration date
03/22/2006
Last updated
02/05/2009
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