DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ROBERT W THEAKSTON, M.D.

Active Sole Proprietor

DR. ROBERT W THEAKSTON, M.D. is a General Practice healthcare provider located in FORT PAYNE, Alabama. NPI 1255374492 is currently active in the NPPES registry. Verify at CMS.

General Practice · FORT PAYNE, AL

Registration Details

NPI Number
1255374492
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2006 (20.19656296394 yrs)
Last Updated
Oct 3, 2013
Licenses
19991 (AL)
19991 (AL)
Sole Proprietor
Yes

Practice Information

Address
211 GREENHILL BLVD NW
FORT PAYNE, AL, 359673755
Browse AL providers · Browse ZIP 35967
Phone
2568459355
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.