Provider Demographics
NPI:1134179484
Name:CURTIS, ROBERT B (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:B
Last Name:CURTIS
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 1:1505 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-3054
Mailing Address - Country:US
Mailing Address - Phone:469-631-8134
Mailing Address - Fax:
Practice Address - Street 1:2710 HACKBERRY DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409
Practice Address - Country:US
Practice Address - Phone:214-831-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3082749-1205207P00000X
UT30827491205207PE0004X
TXH6143207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807933000Medicaid
UT1134179484Medicaid
UT$$$$$$$$$OtherBCBS OF UTAH
ID807933000Medicaid
UT1134179484Medicaid
UT$$$$$$$$$02001OtherBCBS OF UTAH
UT1134179484Medicaid