Healthcare Provider Details

I. General information

NPI: 1255268553
Provider Name (Legal Business Name): ROBERT ANTHONY MADDEN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36065 SANTA FE AVE
FORT HOOD TX
76544-5060
US

IV. Provider business mailing address

2910 YELLOWSTONE CT
MIDLAND TX
79705-2815
US

V. Phone/Fax

Practice location:
  • Phone: 512-734-6869
  • Fax:
Mailing address:
  • Phone: 512-734-6869
  • Fax: 512-734-6869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberBP10097162
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: