Individual
MISTY ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E EDGEBROOK DR APT 4004, HOUSTON, TX 77034-1476
(832) 276-7076
Mailing address
103 E EDGEBROOK DR APT 4004, HOUSTON, TX 77034-1476
(832) 276-7076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201088
TX
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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