Robert W. Frederick, MD

Urology Physician · Longview, TX

Individual Active NPI

NPI number 1780658112

Practice location

703 E Marshall Ave Ste 5007
Longview, TX 75601
Phone
(903) 315-4455
Fax
(903) 315-2466

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NPI record

NPI
1780658112
Entity type
Individual (Type 1)
Enumeration date
February 14, 2006
Last updated
July 11, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X K7155 TX

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone
(903) 324-6450

About Dr. Frederick

Robert W. Frederick, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 703 E Marshall Ave Ste 5007, Longview, TX 75601. The NPI number 1780658112 was assigned on February 14, 2006 and the record was last updated on July 11, 2018.

Dr. Frederick lists a license in the registry: #K7155 (TX) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert W. Frederick, MD?

The NPI number is 1780658112.

What is the phone number of Dr. Frederick?

The phone number listed for the practice location is (903) 315-4455.

Where is Dr. Frederick located?

703 E Marshall Ave Ste 5007, Longview, TX 75601.

What is the taxonomy code for Dr. Frederick?

The primary taxonomy code is 208800000X – Urology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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