Provider Demographics
NPI:1316332638
Name:DRUTEL, ROBERT OLIVER (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:OLIVER
Last Name:DRUTEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9330 POPPY DR STE 302
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-4640
Mailing Address - Country:US
Mailing Address - Phone:972-276-8994
Mailing Address - Fax:972-276-8284
Practice Address - Street 1:9330 POPPY DR STE 302
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-4640
Practice Address - Country:US
Practice Address - Phone:972-276-8994
Practice Address - Fax:972-276-8284
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2023-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXU7197207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease