Provider Demographics
NPI:1336134170
Name:DILLOW, ROBERTO G (MD)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:G
Last Name:DILLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3899
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79923-3899
Mailing Address - Country:US
Mailing Address - Phone:915-577-0030
Mailing Address - Fax:915-533-2568
Practice Address - Street 1:2415 E YANDELL DR
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3616
Practice Address - Country:US
Practice Address - Phone:915-577-0030
Practice Address - Fax:915-533-2568
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH0299207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL0082429OtherDPS
BD3262261OtherDEA
TXL0082429OtherDPS
F35238Medicare UPIN