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1144257601

NPI Code Detail

MEDICARE: ROBERT C KNOWLTON MD

MEDICARE: ROBERT C KNOWLTON MD

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	2084N0400X	Neurology Physician	22817	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	130021547	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000045392	OTHER	AL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051513177	OTHER	AL	BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	F64571	OTHER	AL	VIVA

General Provider Information

NPI Number	:	1144257601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C KNOWLTON MD

Provider Business Mailing Address
First Line	:	PO BOX 201088
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-1088
Country	:	US
Telephone Number	:	713-512-2239
Fax Number	:

Provider Business Practice Location Address
First Line	:	6410 FANNIN ST STE 1014
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-5301
Country	:	US
Telephone Number	:	713-512-2239
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	04/26/2012

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Directions to “ ROBERT C KNOWLTON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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