Organization
ROBERT CLOUD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ROYCE CLOUD MD (PRESIDENT)
(972) 788-4442
Entity
Organization
Contact information
Practice address
12200 PARK CENTRAL DR, SUITE 100, DALLAS, TX 75251-2100
(972) 788-4442
(972) 788-4971
Mailing address
12200 PARK CENTRAL DR, SUITE 100, DALLAS, TX 75251-2100
(972) 788-4442
(972) 788-4971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G0977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JY11
BLUE CROSS BLUE SHIELD
TX
01
—
4063095
AETNA
TX
01
—
G0977
STATE LICENSE
TX
05
—
Z8946
—
TX
Enumeration date
01/24/2007
Last updated
09/02/2011
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