MEDICARE: DR. MICHAEL W ROBLES DO

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	207ZP0101X	Anatomic Pathology Physician	34-008443	OH
2	207ZP0101X	Anatomic Pathology Physician	L8923	TX
3	207ZP0101X	Anatomic Pathology Physician	056474	GA
4	207ZP0101X	Anatomic Pathology Physician	2005-00398	NC
5	207ZP0101X	Anatomic Pathology Physician	20A8161	CA

General Provider Information

NPI Number	:	1427034495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL W ROBLES DO

Provider Business Mailing Address
First Line	:	3418 MIDCOURT RD
Second Line	:	SUITE 118
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 MIDCOURT RD
Second Line	:	SUITE 118
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4944
Country	:	US
Telephone Number	:	214-420-8200
Fax Number	:

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	02/01/2024

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Directions to “ DR. MICHAEL W ROBLES DO” Practice Location

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