Provider Demographics
NPI:1164451761
Name:NOCERINI, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:NOCERINI
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 1:7704 SAN JACINTO PL STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3201
Mailing Address - Country:US
Mailing Address - Phone:469-945-7966
Mailing Address - Fax:972-695-3075
Practice Address - Street 1:7704 SAN JACINTO PL STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3201
Practice Address - Country:US
Practice Address - Phone:469-945-7966
Practice Address - Fax:972-695-3075
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6946208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H06128Medicare UPIN
TX350709YYNCMedicare PIN