| Robert Ian Myers, Md, Pa | |
|
3600 Gaston Ave Suite 508 Dallas TX 75246-1805 | |
| (214) 824-4585 | |
| (214) 824-0917 |
| Full Name | Robert Ian Myers, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3600 Gaston Ave, Dallas, Texas |
| Authorized Official Name and Position | Lynn Sparrow (MANAGER) |
| Authorized Official Contact | 2148232373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Ian Myers, Md, Pa 3600 Gaston Ave Suite 508 Dallas TX 75246-1805 Ph: (214) 824-4585 | Robert Ian Myers, Md, Pa 3600 Gaston Ave Suite 508 Dallas TX 75246-1805 Ph: (214) 824-4585 |
| NPI Number | 1366730459 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 04/19/2012 |
| Medicare PECOS PAC ID | 0244402964 |
|---|---|
| Medicare Enrollment ID | O20110930000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366730459 | NPI | - | NPPES |
| 8CW431 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G9170 (Texas) | Primary |
| Provider Name | Robert I Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295833721 PECOS PAC ID: 8426047200 Enrollment ID: I20110930000395 |
| Provider Name | Heidi M Vanderbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183407 PECOS PAC ID: 3274786405 Enrollment ID: I20130119000003 |
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