Provider Demographics
NPI:1053321539
Name:HOOD, ROBERT C (MD,FRCPC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD,FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 NORTH ST
Mailing Address - Street 2:SUITE 560
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1433
Mailing Address - Country:US
Mailing Address - Phone:409-835-9834
Mailing Address - Fax:409-835-7623
Practice Address - Street 1:3030 NORTH ST
Practice Address - Street 2:SUITE 560
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1433
Practice Address - Country:US
Practice Address - Phone:409-835-9834
Practice Address - Fax:409-835-7623
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX760509654207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130366102Medicaid
TX86Z811OtherBLUE CROSS & BLUE SHIELD
TX460001316OtherMEDICARE RAILROAD
TX460001316OtherMEDICARE RAILROAD
TX86Z811OtherBLUE CROSS & BLUE SHIELD