Provider Demographics
NPI:1740435130
Name:SAXTON, ROBERT HIBBERD (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HIBBERD
Last Name:SAXTON
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:PO BOX 21265
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76702-1265
Mailing Address - Country:US
Mailing Address - Phone:254-772-2372
Mailing Address - Fax:254-870-1991
Practice Address - Street 1:208 CHAMA DR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3368
Practice Address - Country:US
Practice Address - Phone:254-772-2372
Practice Address - Fax:254-870-1991
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1489207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126283406Medicaid
TXD1498OtherTEXAS LICENSE
TXP01032224OtherPALMETTO GBA
TXTXB108341Medicare PIN
TX126283406Medicaid