Individual provider · Type 1 NPI

Robert W. Frederick, MD

Urology Physician · Longview, TX

NPI number 1780658112 Active

Practice location

703 E Marshall Ave Ste 5007
Longview, TX 75601

Fax (903) 315-2466

Mailing address

PO Box 846098
Dallas, TX 75284-6098

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XK7155 (TX)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

2 other providers at this address

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About NPI 1780658112

Robert W. Frederick, MD's National Provider Identifier is 1780658112, issued on Feb 14, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Longview, TX. The record was last updated on Jul 11, 2018.