Provider Demographics
NPI:1154787950
Name:ROBERT J. CAPRIOTTI, M.D., P.A.
Entity type:Organization
Organization Name:ROBERT J. CAPRIOTTI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CAPRIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-674-7201
Mailing Address - Street 1:2530 W HOLCOMBE BLVD
Mailing Address - Street 2:NONE
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1904
Mailing Address - Country:US
Mailing Address - Phone:713-674-7201
Mailing Address - Fax:
Practice Address - Street 1:2530 W HOLCOMBE BLVD
Practice Address - Street 2:NONE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1904
Practice Address - Country:US
Practice Address - Phone:713-674-7201
Practice Address - Fax:713-674-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7417207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21687Medicare UPIN