Provider Demographics
NPI:1699742452
Name:CONE, ROBERT O III (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:O
Last Name:CONE
Suffix:III
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 1:110 SHAVANO DR
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1233
Mailing Address - Country:US
Mailing Address - Phone:210-316-5224
Mailing Address - Fax:
Practice Address - Street 1:110 SHAVANO DR
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1233
Practice Address - Country:US
Practice Address - Phone:210-492-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF14692085R0202X
TNMD442092085R0202X
OH39.0930352085R0202X
CAC403192085R0202X
IL036.1222392085R0202X
UT8023350-12052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128296406Medicaid
TX128296419Medicaid
TX128296420OtherCSN
TX128296402Medicaid
TX128296403OtherCSHCN
TN3002690Medicaid
TN3381043OtherGROUP PTAN - ISP
87046RMedicare ID - Type Unspecified
C14696Medicare UPIN
TX128296419Medicaid
TX128296420OtherCSN
TN3002690Medicare PIN
TX300026388Medicare PIN
TX128296403OtherCSHCN