MEDICARE: DARLENE ROBERTSON COM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	03411	TX

General Provider Information

NPI Number	:	1275725699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE ROBERTSON COM

Provider Business Mailing Address
First Line	:	2050 DIAMOND SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1939
Country	:	US
Telephone Number	:	713-410-1395
Fax Number	:	281-493-5052

Provider Business Practice Location Address
First Line	:	2050 DIAMOND SPRINGS DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-1939
Country	:	US
Telephone Number	:	713-410-1395
Fax Number	:	281-493-5052

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	08/10/2007

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Directions to “ DARLENE ROBERTSON COM” Practice Location

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