Provider Demographics
NPI:1285896936
Name:EBELING, ROBERT LEE III (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LEE
Last Name:EBELING
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1008
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78667-1008
Mailing Address - Country:US
Mailing Address - Phone:866-317-3801
Mailing Address - Fax:512-583-2001
Practice Address - Street 1:753 S WASHINGTON ST BLDG D
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-5247
Practice Address - Country:US
Practice Address - Phone:830-990-4800
Practice Address - Fax:830-990-4806
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2019-12-27
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Provider Licenses
StateLicense IDTaxonomies
GA0697992085R0001X
TXN36272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology