Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | J8787 | TX |
N | 208600000X | Surgeon | J8787 | TX |
N | 208200000X | Surgeon | J8787 | TX |
N | 208600000X | Surgeon | J8787 | TX |
N | 2086S0105X | Surgery of the Hand | J8787 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | J8787 | TX |
NPI | 1932146248 |
---|---|
Provider Name | Dr. Robert Lee Steely |
First Address | Houston, TX 77227-2780 |
Second Address | Houston, TX 77027-7310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015EY | BLUE CROSS (01) | TX |
H18769 | (02) | TX |