Provider Demographics
NPI:1912925058
Name:VOLLERO, ROBERT A (MD, PA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:VOLLERO
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 520
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7338
Mailing Address - Country:US
Mailing Address - Phone:713-850-7272
Mailing Address - Fax:713-877-0970
Practice Address - Street 1:4126 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 520
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7338
Practice Address - Country:US
Practice Address - Phone:713-850-7272
Practice Address - Fax:713-877-0970
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0576208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ425OtherBLUE CROSS BLUE SHIELD
TXB27361Medicare UPIN
TX00473TMedicare PIN