Healthcare Provider Details
I. General information
NPI: 1477908440
Provider Name (Legal Business Name): AARON WHEELER ROBERTS M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/27/2016
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6410 FANNIN ST STE 360
HOUSTON TX
77030-3002
US
IV. Provider business mailing address
6410 FANNIN, MSB 3.286
HOUSTON TX
77030-3000
US
V. Phone/Fax
- Phone: 832-325-7288
- Fax: 713-383-1464
- Phone: 713-486-6644
- Fax: 713-383-1413
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | S5482 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | S5482 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: