Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | L2624 | TX |
NPI | 1184621765 |
---|---|
Provider Name | Dr. Robert L Saunders JR. |
First Address | Houston, TX 77024-4049 |
Second Address | Houston, TX 77024-4049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 26/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A36449 | (02) |