| Robert James Dougherty Mdpa | |
|
441 Highway 71 W Suite B-1 Bastrop TX 78602-3931 | |
| (512) 581-5016 | |
| (512) 581-5022 |
| Full Name | Robert James Dougherty Mdpa |
|---|---|
| Speciality | Family Medicine |
| Location | 441 Highway 71 W, Bastrop, Texas |
| Authorized Official Name and Position | Robert Dougherty (PRESIDENT) |
| Authorized Official Contact | 5125815016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert James Dougherty Mdpa Po Box 23 Bastrop TX 78602-0023 Ph: (512) 581-5016 | Robert James Dougherty Mdpa 441 Highway 71 W Suite B-1 Bastrop TX 78602-3931 Ph: (512) 581-5016 |
| NPI Number | 1053561761 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Medicare PECOS PAC ID | 2668540279 |
|---|---|
| Medicare Enrollment ID | O20081009000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053561761 | NPI | - | NPPES |
| 147638403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2226 (Texas) | Primary |
| Provider Name | Robert J Dougherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114935210 PECOS PAC ID: 7810065406 Enrollment ID: I20081009000362 |
Sai Medical Group,p.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Childers Dr, Suite# 109, Bastrop, TX 78602 Phone: 512-321-3430 Fax: 512-303-5437 | |
Bastrop Medical Clinic P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 S Hasler Blvd, Suite B-1, Bastrop, TX 78602 Phone: 512-308-1555 Fax: 512-308-1565 | |
Riverbend Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Highway 71 W, Suite C, Bastrop, TX 78602 Phone: 512-304-0313 Fax: 512-237-5768 | |
Lone Star Circle Of Care At Bastrop Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 | |
Bastrop County Medical & Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Highway 71 W, Bastrop, TX 78602 Phone: 512-321-9091 | |
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