Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | P0264 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P0264 | TX |
NPI | 1447468046 |
---|---|
Provider Name | Robert Swanson Neff II |
First Address | Houston, TX 77030-2312 |
Second Address | Houston, TX 77024-2527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 26/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
288030401 | (05) | TX |
288030402 | (05) | TX |
P01046918 | RR MEDICARE (01) |