Provider Demographics
NPI:1306914148
Name:URE, ROBERT DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DAVID
Last Name:URE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4738 LITTLE ROAD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017
Mailing Address - Country:US
Mailing Address - Phone:817-483-8599
Mailing Address - Fax:817-483-2440
Practice Address - Street 1:4738 LITTLE ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017
Practice Address - Country:US
Practice Address - Phone:817-483-8599
Practice Address - Fax:817-483-2440
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2978208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035737804Medicaid
TX035737803Medicaid
TX035737802Medicaid
TX035737803Medicaid
TXTXB113166Medicare PIN
B27192Medicare UPIN
TX035737804Medicaid
TXTXB113164Medicare PIN