Provider Demographics
NPI:1992759476
Name:SZEWC, ROBERT G (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:G
Last Name:SZEWC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:915 S LAREDO ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-3211
Mailing Address - Country:US
Mailing Address - Phone:210-277-1418
Mailing Address - Fax:210-277-1458
Practice Address - Street 1:915 S LAREDO ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78204-3211
Practice Address - Country:US
Practice Address - Phone:210-277-1418
Practice Address - Fax:210-277-1458
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2686207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145742605Medicaid
P00145409OtherRAILROAD MEDICARE ID
TX00414UMedicare PIN
8A1310Medicare PIN
TX145742605Medicaid