Provider Demographics
NPI:1730146473
Name:VIERE, ROBERT GERARD (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GERARD
Last Name:VIERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17051 DALLAS PKWY STE 400
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-7101
Mailing Address - Country:US
Mailing Address - Phone:214-370-3535
Mailing Address - Fax:214-370-0004
Practice Address - Street 1:17051 DALLAS PKWY STE 400
Practice Address - Street 2:SUITE 400
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7101
Practice Address - Country:US
Practice Address - Phone:214-370-3535
Practice Address - Fax:214-370-0004
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9894207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BW309OtherBCBS PIN
TXP00703210OtherRAIL ROAD MEDICARE PIN
TX118405304Medicaid
TX118405305Medicaid
TXP00703210OtherRAIL ROAD MEDICARE PIN
TXV10840765Medicare ID - Type Unspecified
TX8BW309OtherBCBS PIN