Provider Demographics
NPI:1154321487
Name:BALDWIN, ROBERT TALBOT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TALBOT
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3567
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3567
Mailing Address - Country:US
Mailing Address - Phone:713-790-5227
Mailing Address - Fax:713-790-5505
Practice Address - Street 1:TEXAS SURGICAL ASSOCIATES
Practice Address - Street 2:7737 SOUTHWEST FREEWAY, SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1819
Practice Address - Country:US
Practice Address - Phone:713-776-3402
Practice Address - Fax:713-776-1069
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXII0154208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89810BOtherBCBS
TX1039869-02Medicaid
TX1039869-02Medicaid
F62849Medicare UPIN