Southard, Robert Ellis

Southard, Robert Ellis is an individual health care provider with primary practice located at 6620 Main St Suite 1350, Houston TX 77030-2348. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Southard, Robert Ellis can be contacted via phone (713) 798-4321.

Contact Information

Primary practice address
6620 Main St Suite 1350 Houston TX 77030-2348
Phone: (713) 798-4321
Fax: (713) 798-8191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Q5725 Texas
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X Q5725 Texas

Profile Details

NPI number 1831340769
LBN Legal business name Southard, Robert Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2008
Last updated Apr 5th, 2022 - about 3 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 1831340769 NPPES
Texas MEDICAID 346718502

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