Provider Demographics
NPI:1245547645
Name:FILES, ROBERT TRACY (PA-C)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:TRACY
Last Name:FILES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-4010
Mailing Address - Country:US
Mailing Address - Phone:918-689-3333
Mailing Address - Fax:918-689-3345
Practice Address - Street 1:17 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-4010
Practice Address - Country:US
Practice Address - Phone:918-689-3333
Practice Address - Fax:918-689-3345
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP-T1013363A00000X
OK2268363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant