Individual
DR. ROBERT A HUTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23900 KATY FWY, KATY, TX 77494-1323
(281) 644-7207
(281) 644-7208
Mailing address
13601 PRESTON ROAD, 1000W, DALLAS, TX 75240-4911
(972) 663-8523
(972) 663-8329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L4456
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
L4456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163666401
—
TX
01
—
8J3768
BLUE CTOSS/BLUE SHIELD
TX
01
—
P00112621
RAILROAD MEDICARE
TX
Enumeration date
11/30/2005
Last updated
12/09/2010
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