Provider Demographics
NPI:1629607205
Name:WIANS, ROBERT ALAN JR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:WIANS
Suffix:JR
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1420 10TH ST S APT 117
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4569
Mailing Address - Country:US
Mailing Address - Phone:256-224-4935
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN STREET
Practice Address - Street 2:SUITE JJL 431
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5389
Practice Address - Country:US
Practice Address - Phone:713-500-7878
Practice Address - Fax:713-500-0758
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-05
Last Update Date:2023-10-31
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Provider Licenses
StateLicense IDTaxonomies
AL46364207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine