Provider Demographics
NPI:1386698538
Name:HANDLEY, ROBERT ARBUCKLE JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ARBUCKLE
Last Name:HANDLEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MONTECITO DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5509
Mailing Address - Country:US
Mailing Address - Phone:405-971-4809
Mailing Address - Fax:
Practice Address - Street 1:3801 MONTECITO DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5509
Practice Address - Country:US
Practice Address - Phone:405-971-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK248702085R0202X
TXL08142085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200078900AMedicaid
OK247625701Medicare PIN
OK200078900AMedicaid