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Individual

DR. GUILLERMO ROBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 718-4581
Mailing address
1908 N 14TH ST STE 203, PONCA CITY, OK 74601-2039
(580) 718-4501
(580) 762-3825

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7205
OK
207V00000X
Obstetrics & Gynecology Physician
A-2055-17
NM
207V00000X
Obstetrics & Gynecology Physician
K0176
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156079901
TX
01
160059547
RAILROAD MEDICARE PIN
TX
01
8A3258
BCBS
TX
Enumeration date
08/16/2006
Last updated
11/09/2021
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