Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS is a
Recreation Therapist based in Volente, Texas. Mr Robert Dean Broadhead Jr is licensed to practice in * (Not Available) (license number 82138) and his current practice location is
16201 Dodd St Ste 200, Volente, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 553-5380.
NPI number for Mr Robert Dean Broadhead Jr is 1710530639 and his current mailing address is 2110 Ranch Road 620 S Unit 341225, Lakeway, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710530639.
Healthcare Provider's Profile
| Full Name | Mr Robert Dean Broadhead Jr |
|---|
| Gender | Male |
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| Speciality | Recreation Therapist |
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| Location | 16201 Dodd St Ste 200, Volente, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710530639
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 02/27/2024
Medical Identifiers
Medical identifiers for Mr Robert Dean Broadhead Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710530639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 1463 (Texas) | Secondary |
| 174H00000X | Health Educator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | 1463 (Texas) | Secondary |
| 225800000X | Recreation Therapist | 82138 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Dean Broadhead Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS
2110 Ranch Road 620 S Unit 341225,
Lakeway, TX 78734-0250
Ph: (512) 553-5380 | Mr Robert Dean Broadhead Jr, RT, MSRLS, CTRS, TRS
16201 Dodd St Ste 200,
Volente, TX 78641-6020
Ph: (512) 553-5380 |
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