MEDICARE: ROBERT LAMBETH D.C.

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	111N00000X	Chiropractor	5860	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5860	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1174749071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LAMBETH D.C.

Provider Business Mailing Address
First Line	:	1500 S DAIRY ASHFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S DAIRY ASHFORD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3854
Country	:	US
Telephone Number	:	281-497-5577
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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