Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | L6602 | TX |
NPI | 1275758146 |
---|---|
Provider Name | Dr. Monica L Roberson |
First Address | Houston, TX 77005-1710 |
Second Address | Houston, TX 77005-1710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 22/09/2011 |