Mena, Robert Michael

Mena, Robert Michael is an sole proprietor health care provider with primary practice located at 538 Broadway , Winnie TX 77665-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mena, Robert Michael can be contacted via phone (409) 296-6000.

Contact Information

Primary practice address
538 Broadway Winnie TX 77665-7600
Phone: (409) 296-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T0566 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8898 Idaho

Profile Details

NPI number 1073657482
LBN Legal business name Mena, Robert Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2007
Last updated Mar 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073657482 NPPES
Idaho Other 55392 BLUE CROSS
Idaho Other 1111689 BLUE CROSS
Idaho Other 000010144342 BLUE CROSS
Idaho MEDICAID 806670100 BLUE CROSS
Idaho Other 820227163B004 BLUE CROSS
Idaho Other 820227163G041 BLUE CROSS
Idaho Other 000010144054 BLUE CROSS
Idaho Other 553925 BLUE CROSS
Idaho Other J9430 BLUE CROSS

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