Organization
ROBERT D. KISTLER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D KISTLER MD (MANAGER/OWNER)
(936) 634-2231
Entity
Organization
Contact information
Practice address
3804 S MEDFORD DR, LUFKIN, TX 75901-5780
(936) 634-2231
(936) 634-8012
Mailing address
3804 S MEDFORD DR, LUFKIN, TX 75901-5780
(936) 634-2231
(936) 634-8012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8217
LICENSE
TX
Enumeration date
10/19/2020
Last updated
04/29/2021
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