Individual
DR. WILMER BURTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.D.
Contact information
Practice address
210 LAKE RD STE 200, LAKE JACKSON, TX 77566-4982
(979) 299-0011
Mailing address
210 LAKE RD STE 200, LAKE JACKSON, TX 77566-4982
(979) 299-0011
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
245650
MA
208800000X
Urology Physician
AJ4147357
MD
208800000X
Urology Physician
Primary
S7326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086918A
—
MA
Enumeration date
01/15/2007
Last updated
08/06/2025
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