Basic Information
Provider Information
NPI: 1174503502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASHMAN
FirstName: ROBERT
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14275 MIDWAY RD
Address2: SUITE 400
City: ADDISON
State: TX
PostalCode: 750013614
CountryCode: US
TelephoneNumber: 2149328029
FaxNumber: 6102714245
Practice Location
Address1: 7485 E TANQUE VERDE RD
Address2:  
City: TUCSON
State: AZ
PostalCode: 857153477
CountryCode: US
TelephoneNumber: 5203207681
FaxNumber: 5203207684
Other Information
ProviderEnumerationDate: 01/20/2006
LastUpdateDate: 04/24/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZD0900XM0681TXY Allopathic & Osteopathic PhysiciansPathologyDermatopathology
207ZD0900X28744AZN Allopathic & Osteopathic PhysiciansPathologyDermatopathology

No ID Information.


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