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General NPI Number Information
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NPI Number | 1366505521
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Entity Type | Individual
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Provider Name | RICHARD ROYSTON ROBERTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 601 RIVER POINTE DR SUITE 130
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City | CONROE
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State | TX
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Zip | 77304-2945
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Country | US
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Telephone | 936-756-7788
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Fax | 936-539-5454
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Provider Business Mailing Address
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Address Line | 601 RIVER POINTE DR SUITE 130
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City | CONROE
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State | TX
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Zip | 77304-2945
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Country | US
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Telephone | 936-756-7788
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Fax | 936-539-5454
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E1253
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License Number State | TX
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