Doctor Name: | ROBERT ALLEN BABBITT |
NPI Number: | 1083605562 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 312 |
Business Practice Address: | 2300 S Clear Creek Rd Suite 103 Killeen, TX - 765494984 |
Business Phone Number: | 2545191900 |
Business Fax Number: | 2545191980 |
Mailing Address: | 4005 Lazy Brook Dr, NOLANVILLE |
State: | TX |
Postal Code: | 765594625 |
Phone Number: | 2542206720 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 312 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |