MEDICARE: DR. ROBERT GLENN ANDING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	H5831	TX
2	207VG0400X	Gynecology Physician	H5831	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160040446	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	83040G	OTHER	TX	BLUE CROSS & BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174526370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT GLENN ANDING M.D.

Provider Business Mailing Address
First Line	:	7900 FANNIN ST
Second Line	:	STE 4000
City	:	HOUSTON
State	:	TX
Zip	:	77054-2934
Country	:	US
Telephone Number	:	713-512-7500
Fax Number	:	713-512-7621

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST
Second Line	:	STE 4000
City	:	HOUSTON
State	:	TX
Zip	:	77054-2934
Country	:	US
Telephone Number	:	713-512-7500
Fax Number	:	713-512-7621

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/09/2019

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Directions to “ DR. ROBERT GLENN ANDING M.D.” Practice Location

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