Individual
DR. EDWARD BROOKE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12930 EAST FWY, HOUSTON, TX 77015-5710
(713) 453-6909
(713) 453-7627
Mailing address
12930 EAST FWY, HOUSTON, TX 77015-5710
(713) 453-6909
(713) 453-7627
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K8969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042245302
—
TX
01
—
200040017
MEDICARE RAILROAD
—
01
—
88772S
BLUE CROSS
TX
Enumeration date
06/17/2005
Last updated
05/29/2008
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