Provider Demographics
NPI:1720345119
Name:FUNK, ROBERT THERON II (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THERON
Last Name:FUNK
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:22999 HIGHWAY 59 N STE 405
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4441
Mailing Address - Country:US
Mailing Address - Phone:281-571-7508
Mailing Address - Fax:281-571-7512
Practice Address - Street 1:22999 HIGHWAY 59 N STE 405
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4441
Practice Address - Country:US
Practice Address - Phone:281-571-7508
Practice Address - Fax:281-571-7512
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2022-07-12
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Provider Licenses
StateLicense IDTaxonomies
TXR6395207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery