Provider Demographics
NPI:1396935177
Name:SANDERS, ROBERT W (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13000 SPACE CENTER BLVD
Mailing Address - Street 2:SD-37 HUMAN TEST SUPPORT GROUP
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-4724
Mailing Address - Country:US
Mailing Address - Phone:281-244-7218
Mailing Address - Fax:
Practice Address - Street 1:3016 MARINA BAY DR
Practice Address - Street 2:FIRST CHOICE EMERGENCY ROOMS
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2768
Practice Address - Country:US
Practice Address - Phone:281-549-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 14667207P00000X, 207PE0005X
AK7251207PE0005X
TXQ1735207P00000X, 207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine