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Individual

DR. ROBERT D GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3641
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K8903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037PJ
BCBS
TX
05
160817603
TX
05
160817605
TX
05
160817606
TX
01
8J2006
BCBS
TX
01
8K9268
BCBS
TX
01
P00323512
MEDICARE RAILROAD
TX
Enumeration date
12/20/2005
Last updated
04/24/2013
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