Provider Demographics
NPI:1346478807
Name:PALMER, ROBERT LELDON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LELDON
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6218 PIPING ROCK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4408
Mailing Address - Country:US
Mailing Address - Phone:832-252-7233
Mailing Address - Fax:
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:SUITE 350
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:713-665-9200
Practice Address - Fax:713-665-9206
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF9916207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC20143Medicare UPIN