Robert Wesley Hathorn, MD | |
800 Scott And White Dr, College Station, TX 77845-6440 | |
(979) 207-4000 | |
Not Available |
Full Name | Robert Wesley Hathorn |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 800 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770537912 | NPI | - | NPPES |
BF148X | Other | CA | MEDICARE-PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A49051 (California) | Secondary |
208800000X | Urology | P0064 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Home Health Of Bryan/college Station | College station, TX | Home health agency |
Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
St Joseph Regional Health Center | Bryan, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Robert Wesley Hathorn, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Robert Wesley Hathorn, MD 800 Scott And White Dr, College Station, TX 77845-6440 Ph: (979) 207-4000 |
Dr. David L. Scott, M.D., P.H.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 Fax: 979-207-4562 | |
Dr. Timothy John Ruddell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 |