Individual
ROBERT W. NEILSON
Active
Individual
ROBERT W. NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52693
MN
207R00000X
Internal Medicine Physician
L4594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159800A
—
OK
05
—
131010100
—
TX
01
—
131010101
FIRSTCARE COMMERCIAL
TX
05
—
151183401
—
TX
05
—
77871367
—
NM
01
—
78718
PRESBYTERIAN COMMERCIAL
NM
05
—
78718
—
NM
01
—
86723Z
HMO BLUE
TX
01
—
8B2602
BC/BS
TX
01
—
A535
TRIWEST
NM
Enumeration date
10/18/2005
Last updated
02/29/2012
Update your record
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