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1285629600

NPI Code Detail

MEDICARE: DR. ROBERT LEO FAIRCHILD MD

MEDICARE: DR. ROBERT LEO FAIRCHILD 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	207L00000X	Anesthesiology Physician	H1956	TX
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	H1956	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	050090438	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050067148	OTHER	TX	RR MCR
2	82174F	OTHER	TX	BCBS
3	8G2770	OTHER	TX	BC/BS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285629600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LEO FAIRCHILD MD

Provider Business Mailing Address
First Line	:	PO BOX 3945
Second Line	:	DEPT 841
City	:	HOUSTON
State	:	TX
Zip	:	77253-3945
Country	:	US
Telephone Number	:	281-358-8114
Fax Number	:	281-358-0609

Provider Business Practice Location Address
First Line	:	4000 SPENCER HWY
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1202
Country	:	US
Telephone Number	:	713-359-2000
Fax Number	:	713-359-1004

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	01/13/2016

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Directions to “ DR. ROBERT LEO FAIRCHILD 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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