Provider Demographics
NPI:1184621765
Name:SAUNDERS, ROBERT L JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:SAUNDERS
Suffix:JR
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 1:650 W BOUGH LN
Mailing Address - Street 2:SUITE 164
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4049
Mailing Address - Country:US
Mailing Address - Phone:713-461-6711
Mailing Address - Fax:713-461-9191
Practice Address - Street 1:650 W BOUGH LN
Practice Address - Street 2:SUITE 164
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4049
Practice Address - Country:US
Practice Address - Phone:713-461-6711
Practice Address - Fax:713-461-9191
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2624207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A36449Medicare UPIN
TX86645JMedicare PIN