Maxey, Robert Adrian

Maxey, Robert Adrian is an sole proprietor health care provider with primary practice located at 2901 4Th St , Longview TX 75605-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Maxey, Robert Adrian can be contacted via phone (903) 232-3606.

Contact Information

Primary practice address
2901 4Th St Longview TX 75605-5128
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-17254 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M4328 Texas

Profile Details

NPI number 1639165954
LBN Legal business name Maxey, Robert Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Oct 19th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639165954 NPPES
Texas MEDICAID 191713001
Texas MEDICAID 191713002

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