Provider Demographics
NPI:1548569346
Name:EMFINGER, ROBERT W
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:W
Last Name:EMFINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 569
Mailing Address - Street 2:
Mailing Address - City:KEMP
Mailing Address - State:TX
Mailing Address - Zip Code:75143-0569
Mailing Address - Country:US
Mailing Address - Phone:903-498-8523
Mailing Address - Fax:903-498-4487
Practice Address - Street 1:1224 S ELM ST
Practice Address - Street 2:
Practice Address - City:KEMP
Practice Address - State:TX
Practice Address - Zip Code:75143-7708
Practice Address - Country:US
Practice Address - Phone:903-498-8523
Practice Address - Fax:903-498-4487
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1211820001Medicare NSC