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NPI Code Detail

MEDICARE: ROBERT A LIGHT MD

MEDICARE: ROBERT A LIGHT 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
1208800000XUrology PhysicianE6127TX

General Provider Information

NPI Number : 1518919711
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT A LIGHT MD
Provider Business Mailing Address
First Line : PO BOX 1400
Second Line :
City : HOUSTON
State : TX
Zip : 77251-1400
Country : US
Telephone Number : 713-351-0644
Fax Number : 713-351-0633
Provider Business Practice Location Address
First Line : 4223 RICHMOND AVE STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6856
Country : US
Telephone Number : 713-634-4477
Fax Number : 713-634-4478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/04/2019

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