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Individual

DR. ROBERT LEO FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
(713) 359-1004
Mailing address
PO BOX 3945, DEPT 841, HOUSTON, TX 77253-3945
(281) 358-8114
(281) 358-0609

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H1956
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H1956
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050067148
RR MCR
TX
01
050090438
RAILROAD MEDICARE
TX
05
122929601
TX
05
122929606
TX
01
82174F
BCBS
TX
01
8G2770
BC/BS
TX
Enumeration date
09/12/2005
Last updated
01/13/2016
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