MEDICARE: ROBERT M. KOMORN, M.D.,F.A.C.S.

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	207YS0012X	Sleep Medicine (Otolaryngology) Physician	D7430	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578777579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT M. KOMORN, M.D.,F.A.C.S.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	1726
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	1726
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-795-5100
Fax Number	:	713-797-9522

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROBERT MELVIN KOMORN
Credential	:	M.D.
Telephone Number	:	713-795-5100

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/17/2007

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Directions to “ROBERT M. KOMORN, M.D.,F.A.C.S. ” Practice Location

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