Provider Demographics
NPI:1861701997
Name:SUTHERLAND, ROBERT DUNCAN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DUNCAN
Last Name:SUTHERLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 SHADOW WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-1802
Mailing Address - Country:US
Mailing Address - Phone:806-282-3330
Mailing Address - Fax:
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:MOB 2 STE 128
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:972-981-8658
Practice Address - Fax:972-981-8657
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285051094OtherHSP NPI