Provider Demographics
NPI:1023091873
Name:SPRINGER, ROBERT RALPH (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:RALPH
Last Name:SPRINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W STATE HIGHWAY 6
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3786
Mailing Address - Country:US
Mailing Address - Phone:254-296-3640
Mailing Address - Fax:
Practice Address - Street 1:1000 W STATE HIGHWAY 6
Practice Address - Street 2:STE 150
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-3786
Practice Address - Country:US
Practice Address - Phone:254-296-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3755174400000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX742865556OtherHUMANA/MILITARY-TRICARE
TX128516506Medicaid
TXP00083085OtherMEDICARE RAILROAD
TX128516506OtherSUPERIOR HEALTH CHIPS
TX8298B6OtherBLUE CROSS BLUE SHIELD
TX8298B6Medicare PIN
C22138Medicare UPIN
TX5334390001Medicare NSC