Provider Demographics
NPI:1457332959
Name:HARPER, ROBERT ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ANDREW
Last Name:HARPER
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 1:2900 E 29TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2623
Mailing Address - Country:US
Mailing Address - Phone:979-776-8440
Mailing Address - Fax:877-601-5854
Practice Address - Street 1:8441 RIVERSIDE PKWY
Practice Address - Street 2:CB1, SUITE 1400
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807
Practice Address - Country:US
Practice Address - Phone:979-774-8200
Practice Address - Fax:797-766-9059
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH13712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX835400OtherMEDICARE
TX137712908Medicaid
TX137712914Medicaid