Provider Demographics
NPI:1285610881
Name:HOWARD, ROBERT ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALEXANDER
Last Name:HOWARD
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 1:2800 S TEXAS AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-5361
Mailing Address - Country:US
Mailing Address - Phone:979-774-2053
Mailing Address - Fax:979-776-5914
Practice Address - Street 1:2010 E VILLA MARIA RD
Practice Address - Street 2:SUITE A
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2582
Practice Address - Country:US
Practice Address - Phone:979-821-7373
Practice Address - Fax:979-691-0123
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5951207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081951801Medicaid
TX135211420Medicaid
TXC17131Medicare UPIN
TX135211420Medicaid
TX8K3509Medicare PIN