Provider Demographics
NPI:1013919414
Name:POST, ROBERT E (PA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:POST
Suffix:
Gender:M
Credentials:PA
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 217
Mailing Address - Street 2:
Mailing Address - City:KIRBYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75956-0217
Mailing Address - Country:US
Mailing Address - Phone:409-423-4314
Mailing Address - Fax:
Practice Address - Street 1:1002 DICKERSON DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-5111
Practice Address - Country:US
Practice Address - Phone:409-384-3415
Practice Address - Fax:409-384-6695
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01064363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S85706Medicare UPIN