Provider Demographics
NPI:1174527725
Name:ADMIRE, ROBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:ADMIRE
Suffix:
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 1:2401 W OAK STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2379
Mailing Address - Country:US
Mailing Address - Phone:940-387-2241
Mailing Address - Fax:940-380-1374
Practice Address - Street 1:2401 W OAK STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2379
Practice Address - Country:US
Practice Address - Phone:940-387-2241
Practice Address - Fax:940-380-1374
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3695174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB20787Medicare UPIN
TX8099M1Medicare PIN