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Individual

ROBERT CHARLES STERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 SCENIC DR, DEPARTMENT OF PATHOLOGY, GEORGETOWN, TX 78626-7726
(512) 943-3000
(512) 942-4781
Mailing address
PO BOX 164106, AUSTIN, TX 78716-4106
(512) 901-1206
(512) 901-1299

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
027095
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G0166
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123771104
TX
01
123771105
CSHCN
TX
05
123771106
TX
05
123771108
TX
01
8Z0892
BCBS
TX
Enumeration date
11/07/2005
Last updated
04/23/2009
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