ROBERT TERRY TRAWNIK


Address: 101a Park St, Atlanta, TX 75551-2645
Phone: 9037961245

ROBERT TERRY TRAWNIK (NPI# 1760514038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760514038
Entity Type Individual
Full Name ROBERT TERRY TRAWNIK
Credential B.C.O.
Practice Address 101a Park St
Atlanta
TX 75551-2645
Mailing Address Po Box 972
Atlanta
TX 75551-0972
Practice Telephone 9037961245
Practice Fax Number 9037969935
Mailing Telephone 9037961245
Mailing Fax Number 9037969935
Enumeration Date 2007-03-12
Last Update Date 2010-08-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1968803 05
TX 0875114-01 05

Office Location

Street Address 101A PARK ST
City ATLANTA
State TX
Zip Code 75551-2645

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1912176983 Glenna B Frost Speech-Language Pathologist 1001 West Main Street, Atlanta, TX 75551 2008-02-25
1043438823 Shelia Kaye Langbartels Optometrist 201 Hwy. 59 South, Atlanta, TX 75551 2007-04-24
1598838583 Tim C Hogan Dentist 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 2006-11-16
1003991290 Jimmy Glenn Stillwell Nurse Anesthetist, Certified Registered 1007 S Williams, Atlanta Memorial Hospital, Atlanta, TX 75551 2006-10-26
1336248376 Miles Drug Company Pharmacist 122 N East St, Atlanta, TX 75551 2006-09-22
1417050667 Danny Warren Addington Dentist 307 East Hiram, Atlanta, TX 75551 2006-09-06
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1801348602 Nicole Degraffenreid Kemp Specialist 3480 Greenbriar Pkwy, Suite 117, Atlanta, GA 30331 2016-10-27
1730639774 Shaniqua Garcia Specialist 825 Beecher St Sw, Atlanta, GA 30310-2717 2016-10-13
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Competitor

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City ATLANTA
Zip Code 75551

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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