Provider Demographics
NPI:1952338279
Name:SICKLER, ROBERT WILAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILAN
Last Name:SICKLER
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 1:6560 FANNIN ST STE 1760
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2735
Mailing Address - Country:US
Mailing Address - Phone:713-795-5056
Mailing Address - Fax:713-795-5096
Practice Address - Street 1:6560 FANNIN ST STE 1760
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2735
Practice Address - Country:US
Practice Address - Phone:713-795-5056
Practice Address - Fax:713-795-5096
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH95702081P2900X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085716101Medicaid
TXTXB131499Medicare PIN
E95380Medicare UPIN
TXTXB131500Medicare PIN