Carney, Robert John
Carney, Robert John is an individual health care provider with primary practice located at 2608 Mcdonald Rd Ste 100, Tyler TX 75701-5934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Carney, Robert John can be contacted via phone (903) 595-5514.Contact Information
Primary practice address
2608 Mcdonald Rd Ste 100
Tyler TX 75701-5934
Phone: (903) 595-5514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | H1563 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | H1563 | Texas |
Profile Details
| NPI number | 1063407203 |
|---|---|
| LBN Legal business name | Carney, Robert John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Aug 3rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063407203 | NPPES |
| Texas | Other | 452105 | AETNA |
| Texas | Other | 89427J | AETNA |
| Texas | Other | P1578565 | AETNA |
| Texas | Other | 038899308 | AETNA |
| Texas | MEDICAID | 128691601 | AETNA |
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