Individual provider · Type 1 NPI

Robert Ryan Disotell, ANP

Adult Health Nurse Practitioner · Texarkana, TX

NPI number 1265798805 Active

Practice location

2604 Saint Michael Dr Ste 340
Texarkana, TX 75503-2378

Call (903) 614-5117 Map

Mailing address

202 Quail Ln
Wake Village, TX 75501-5722

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XA03684 (AR)

Adult Health Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1265798805

Robert Ryan Disotell, ANP's National Provider Identifier is 1265798805, issued on Apr 9, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Texarkana, TX. The record was last updated on Apr 27, 2018.