Provider Demographics
NPI:1962573378
Name:EPPS, ROBERT DUANE (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DUANE
Last Name:EPPS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 MOLLY LN
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:TX
Mailing Address - Zip Code:75773-1317
Mailing Address - Country:US
Mailing Address - Phone:903-569-2961
Mailing Address - Fax:
Practice Address - Street 1:910 E HOUSTON ST STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8363
Practice Address - Country:US
Practice Address - Phone:903-579-9800
Practice Address - Fax:903-592-2811
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX250471835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4592374OtherNCPDP