Individual
DR. ROBERT ELLIS SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-8890
Mailing address
1 BAYLOR PLZ, MS: BCM 390, HOUSTON, TX 77030-3411
(713) 798-8051
(713) 798-2744
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Q5725
TX
2086S0102X
Surgical Critical Care Physician
Primary
Q5725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346718502
—
TX
Enumeration date
10/09/2008
Last updated
02/27/2025
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