Provider Demographics
NPI:1568660173
Name:ROBERT L MCKOWEN MD
Entity Type:Organization
Organization Name:ROBERT L MCKOWEN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-496-1700
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2432
Mailing Address - Country:US
Mailing Address - Phone:281-496-1700
Mailing Address - Fax:281-496-9081
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2432
Practice Address - Country:US
Practice Address - Phone:281-496-1700
Practice Address - Fax:281-496-9081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T89RMedicare PIN