ROBERT RYAN DISOTELL

TEXARKANA, TX
NPI1265798805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  A03684)
Enumeration Date2012-04-09
Last Update Date2018-04-27
Business Address
Mr. ROBERT RYAN DISOTELL ANP
2604 SAINT MICHAEL DR STE 340
TEXARKANA, TX 75503-2378
Phone number: 903-614-5117
Mailing Address
Mr. ROBERT RYAN DISOTELL ANP
202 QUAIL LN
WAKE VILLAGE, TX 75501-5722
Phone number: 870-292-9960
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