Provider Demographics
NPI:1962065755
Name:MCKENZIE, ROBERT PIERCE (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PIERCE
Last Name:MCKENZIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5151 SAN FELIPE ST STE 1470
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3632
Mailing Address - Country:US
Mailing Address - Phone:713-622-4499
Mailing Address - Fax:713-622-3466
Practice Address - Street 1:5151 SAN FELIPE ST STE 1470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3632
Practice Address - Country:US
Practice Address - Phone:713-622-4499
Practice Address - Fax:713-622-3466
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT22152084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty