Provider Demographics
NPI:1568594935
Name:SALDANA, ROBERT G (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:G
Last Name:SALDANA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 WOODARD AVE
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7051
Mailing Address - Country:US
Mailing Address - Phone:817-641-2020
Mailing Address - Fax:817-641-2035
Practice Address - Street 1:1665 WOODARD AVE
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7051
Practice Address - Country:US
Practice Address - Phone:817-641-2020
Practice Address - Fax:817-641-2035
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5453TG152W00000X
CA411086163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81016Q10017FEOtherBLUE CROSS BLUE SHIELD
TX42160760OtherHEALTH SMART
TX163911403Medicaid
U98991Medicare UPIN
TX163911403Medicaid