Provider Demographics
NPI:1285684894
Name:LABORDE, ROBERT PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:LABORDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 5TH AVE W
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4206
Mailing Address - Country:US
Mailing Address - Phone:828-693-0747
Mailing Address - Fax:828-693-0947
Practice Address - Street 1:630 5TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4206
Practice Address - Country:US
Practice Address - Phone:828-693-0747
Practice Address - Fax:828-693-0947
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34067207W00000X
SC15542207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7950505Medicaid
NCE54862Medicare UPIN
NC7950505Medicaid