MEDICARE: ROBERT M BAYER 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	174400000X	Specialist	E4195	TX

General Provider Information

NPI Number	:	1740234970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M BAYER MD

Provider Business Mailing Address
First Line	:	1535 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-9512
Country	:	US
Telephone Number	:	713-961-0423
Fax Number	:	713-888-0261

Provider Business Practice Location Address
First Line	:	1535 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-9512
Country	:	US
Telephone Number	:	713-961-0423
Fax Number	:	713-888-0261

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/13/2007

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