Provider Demographics
NPI:1174902399
Name:ROBERT B. WAHEED, D.D.S,
Entity type:Organization
Organization Name:ROBERT B. WAHEED, D.D.S,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-622-0123
Mailing Address - Street 1:5444 WESTHEIMER RD
Mailing Address - Street 2:SUITE 1640
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5397
Mailing Address - Country:US
Mailing Address - Phone:713-622-0123
Mailing Address - Fax:713-622-2663
Practice Address - Street 1:5444 WESTHEIMER RD
Practice Address - Street 2:SUITE 1640
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5397
Practice Address - Country:US
Practice Address - Phone:713-622-0123
Practice Address - Fax:713-622-2663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty