Provider Demographics
NPI:1952524159
Name:MUIRHEAD, ROBERT SAMUEL (DD, MS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SAMUEL
Last Name:MUIRHEAD
Suffix:
Gender:M
Credentials:DD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16116 STUEBNER AIRLINE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7327
Mailing Address - Country:US
Mailing Address - Phone:281-376-5858
Mailing Address - Fax:281-376-5877
Practice Address - Street 1:16116 STUEBNER AIRLINE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7327
Practice Address - Country:US
Practice Address - Phone:281-376-5858
Practice Address - Fax:281-376-5877
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116681223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX742105427OtherTAX ID NUMBER