Provider Demographics
NPI:1467457937
Name:NOBLES, ROBERT GREEN III (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GREEN
Last Name:NOBLES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:5282 MEDICAL DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6023
Mailing Address - Country:US
Mailing Address - Phone:210-690-5511
Mailing Address - Fax:210-690-5509
Practice Address - Street 1:5282 MEDICAL DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6023
Practice Address - Country:US
Practice Address - Phone:210-690-5511
Practice Address - Fax:210-690-5509
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2020-08-18
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Provider Licenses
StateLicense IDTaxonomies
TXG3650207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC19925Medicare UPIN