Provider Demographics
NPI:1174526370
Name:ANDING, ROBERT GLENN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GLENN
Last Name:ANDING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:STE 4000
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2934
Mailing Address - Country:US
Mailing Address - Phone:713-512-7500
Mailing Address - Fax:713-512-7621
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:STE 4000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2934
Practice Address - Country:US
Practice Address - Phone:713-512-7500
Practice Address - Fax:713-512-7621
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5831207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160040446OtherRAILROAD MEDICARE
TX1246241-05Medicaid
TX83040GOtherBLUE CROSS & BLUE SHIELD
TX124624105Medicaid
TX84279JMedicare PIN
TX84383JMedicare PIN
TX160040446OtherRAILROAD MEDICARE
TX84322JMedicare PIN
TX83040GOtherBLUE CROSS & BLUE SHIELD
TX84279JMedicare ID - Type UnspecifiedHARRIS COUNTY
TX84383JMedicare PIN