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NPI Code Detail

MEDICARE: DR. ROBERT BLOSS M.D.

MEDICARE: DR. ROBERT BLOSS M.D.
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
12086S0120XPediatric Surgery PhysicianE7829TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00749589OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790748309
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT BLOSS M.D.
Provider Business Mailing Address
First Line : 7900 FANNIN ST
Second Line : STE 3200
City : HOUSTON
State : TX
Zip : 77054-2934
Country : US
Telephone Number : 713-796-1600
Fax Number : 713-796-0397
Provider Business Practice Location Address
First Line : 7900 FANNIN ST
Second Line : STE 3200
City : HOUSTON
State : TX
Zip : 77054-2934
Country : US
Telephone Number : 713-796-1600
Fax Number : 713-796-0397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2006
Last Update Date : 11/15/2012

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Directions to “ DR. ROBERT BLOSS M.D.” Practice Location

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