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NPI Code Detail

MEDICARE: COLLEEN ANN ROBERTS

MEDICARE: COLLEEN ANN ROBERTS
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
1363LF0000XFamily Nurse PractitionerAP144644TX
2163W00000XRegistered Nurse870254TX

General Provider Information

NPI Number : 1952950099
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN ANN ROBERTS
Provider Business Mailing Address
First Line : 6201 STRATFORD CIR
Second Line :
City : BRYAN
State : TX
Zip : 77802-6041
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1504 TAUB LOOP
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1608
Country : US
Telephone Number : 713-873-2860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 06/18/2026

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