Individual
ROBERT GLENN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST, SUITE 802, HOUSTON, TX 77030-2761
(713) 441-3780
(713) 790-6468
Mailing address
6560 FANNIN ST, SUITE 802, HOUSTON, TX 77030-2761
(713) 441-3780
(713) 790-6468
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
H2008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157791801
—
TX
05
—
157791803
—
TX
01
—
8EY670
BLUE CROSS BLUE SHIELD
TX
01
—
P01511158
RR MEDICARE
TX
Enumeration date
12/05/2006
Last updated
11/04/2015
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