Provider Demographics
NPI:1629270442
Name:STATON, ROBERT SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCOTT
Last Name:STATON
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 1:8604 GREENVILLE AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7139
Mailing Address - Country:US
Mailing Address - Phone:469-330-7378
Mailing Address - Fax:469-330-7388
Practice Address - Street 1:8604 GREENVILLE AVE
Practice Address - Street 2:STE 201
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7139
Practice Address - Country:US
Practice Address - Phone:469-330-7378
Practice Address - Fax:469-330-7388
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM68932084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry