Individual
ROBERT C KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(713) 512-2239
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 512-2239
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22817
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000045392
BLUE CROSS
AL
05
—
000045392
—
AL
01
—
00125120
MISSISSIPPI MEDICAID
MS
01
—
051513177
BLUE CROSS
AL
01
—
130021547
RAILROAD MEDICARE
AL
01
—
1953547
EMERGENCY LA MEDICAID
LA
01
—
F64571
VIVA
AL
Enumeration date
06/28/2006
Last updated
04/26/2012
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