Provider Demographics
NPI:1326075920
Name:CARD, ROBERT JUSTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JUSTIN
Last Name:CARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 1420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-797-1620
Mailing Address - Fax:713-797-1543
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-797-1620
Practice Address - Fax:713-797-1543
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2009-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXMDF3420207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123306602Medicaid
TX060010004OtherRR
TX123306602Medicaid
TX060010004OtherRR