Individual
ROBERT S MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6445 MAIN STREET, OPC 22, HOUSTON, TX 77030
(713) 441-4345
Mailing address
6445 MAIN STREET, OPC 22, HOUSTON, TX 77030
(713) 441-4345
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
16082
OK
207RG0100X
Gastroenterology Physician
Primary
E8706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039895008
—
TX
05
—
039895009
—
TX
01
—
8EE316
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/29/2006
Last updated
09/14/2018
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