Provider Demographics
NPI:1174574537
Name:KAUFMAN, ROBERT MICHAEL (RNFNP-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MICHAEL
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:RNFNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 EL PASO DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2838
Mailing Address - Country:US
Mailing Address - Phone:915-778-9811
Mailing Address - Fax:
Practice Address - Street 1:5340 EL PASO DR STE A
Practice Address - Street 2:STE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2838
Practice Address - Country:US
Practice Address - Phone:915-778-9811
Practice Address - Fax:915-778-1521
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX522056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153702901Medicaid
NM56475063Medicaid
TX153702901Medicaid
TX8A0328Medicare PIN
NM56475063Medicaid