MEDICARE: DR. MONICA L ROBERSON MD

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	207VX0000X	Obstetrics Physician	L6602	TX

General Provider Information

NPI Number	:	1275758146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA L ROBERSON MD

Provider Business Mailing Address
First Line	:	1728 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1710
Country	:	US
Telephone Number	:	832-514-6800
Fax Number	:	713-520-6803

Provider Business Practice Location Address
First Line	:	1728 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1710
Country	:	US
Telephone Number	:	832-514-6800
Fax Number	:	713-520-6803

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	09/22/2011

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