Provider Demographics
NPI:1689671927
Name:TALBERT, ROBERT LESLIE (ROBERT TALBERT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LESLIE
Last Name:TALBERT
Suffix:
Gender:M
Credentials:ROBERT TALBERT
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:LESLIE
Other - Last Name:TALBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MSC 6220
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-8318
Mailing Address - Fax:210-567-8328
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:MSC 6220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-8318
Practice Address - Fax:210-567-8328
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy