Organization
ONE SOURCE MEDICAL & REGENERATIVE SERVICES LLC
Active
Other names
One Source Medical & Regenerative Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBLES MD (PRESIDENT/MD)
(713) 784-2903
Entity
Organization
Contact information
Practice address
8313 SOUTHWEST FWY STE 300, HOUSTON, TX 77074-1608
(713) 784-2903
(713) 784-2908
Mailing address
412 E 18TH ST, WESLACO, TX 78596-8032
(915) 929-9904
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113251608
—
TX
05
—
3911240
—
TX
Enumeration date
08/24/2022
Last updated
12/27/2022
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