person
Mr. Robert Ryan Disotell, ANP
Adult Health Nurse Practitioner in Texarkana, Texas
NPI 1265798805

Robert Ryan Disotell is an Adult Health Nurse Practitioner based in Wake Village, TX and is specialized in Adult Health. Robert Ryan Disotell practices in Texarkana, TX and has the professional credentials of ANP. The NPI Number for Robert Ryan Disotell is 1265798805 and holds a License No. A03684 (Texas).

The current practice location address for Robert Ryan Disotell is 2604 Saint Michael Dr Ste 340, Texarkana, TX and can be reached out via phone at 903-614-5117. You can also correspond with Robert Ryan Disotell through the mailing address at 202 QUAIL LN, WAKE VILLAGE, TX - 75501-5722 (mailing address contact number: 870-292-9960).

Location: 2604 Saint Michael Dr Ste 340, Texarkana, TX, 75501-5722
person
Provider Profile Details
NPI Number
1265798805
Provider Name
Robert Ryan Disotell
Credential
ANP
Provider Entity Type
Individual
Gender
Male
Address
2604 Saint Michael Dr Ste 340, Texarkana, TX, 75501-5722
Phone Number
903-614-5117
Fax Number
Provider Enumeration Date
04/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A03684 01 AR LICENSE
1994 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
2604 Saint Michael Dr Ste 340
City
State
Zip
75503-2378
Phone Number
903-614-5117
Fax Number
person
Provider Business Mailing Address Details
Address
2604 Saint Michael Dr Ste 340
City
State
Zip
75503-2378
Phone Number
903-614-5117
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
A03684 (Arkansas)
Definition
Definition to come...
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