Provider Demographics
NPI:1013921568
Name:DOYLE, ROBERT JEFFREY (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JEFFREY
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:6550 NAAMAN FOREST BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5691
Mailing Address - Country:US
Mailing Address - Phone:972-480-0072
Mailing Address - Fax:972-480-0073
Practice Address - Street 1:6550 NAAMAN FOREST BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-5691
Practice Address - Country:US
Practice Address - Phone:972-480-0072
Practice Address - Fax:972-480-0073
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1760213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760OtherSTATE LICENSE
TXV09707Medicare UPIN