Provider Demographics
NPI:1285517052
Name:MEAD, ROBERT C
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:MEAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 WINDING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4592
Mailing Address - Country:US
Mailing Address - Phone:832-425-2374
Mailing Address - Fax:
Practice Address - Street 1:2129 WINDING SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4592
Practice Address - Country:US
Practice Address - Phone:832-425-2374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant