Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert W Frederick, MD

Individual provider Urology Physician · NPI 1780658112

Dr. Robert W Frederick, MD is an Urology in Longview, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 1997, 29 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

703 E Marshall Ave Ste 5007
Longview, TX 75601
Phone: (903) 315-4455
Fax: (903) 315-2466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence K7155 (TX)

Record details

NPI number1780658112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 11, 2018
Mailing addressPo Box 846098, Dallas, TX 75284-6098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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