P Praxis·MD
● Active Type 1 · Individual

MR. Robert Ryan Disotell, ANP

Nurse Practitioner·Texarkana, TX· NPI 1265798805 · Enumerated 2012 · 14 years on NPI
Disotell is 1 of 6 nurse practitioner providers in Texarkana and 1 of 1243 in Texas.
NPI age
14 years
Enumerated 2012-04-09
Primary specialty
Nurse Practitioner
Licensed in
AR
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1243 active nurse practitioner providers in Texas.

NPI age
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
2604 Saint Michael Dr Ste 340
Texarkana, TX 755032378
📞 9036145117
Mailing address
202 Quail Ln
Wake Village, TX 755015722
📞 8702929960

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    AR license #A03684 taxonomy 363LA2200X

Identifiers

TypeValueNotes
01 (AR) A03684 LICENSE
01 (TX) 1994 TX LICENSE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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