Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35089193 | OH |
NPI | 1013074962 |
---|---|
Provider Name | James Robles |
First Address | Weslaco, TX 78596-8032 |
Second Address | Weslaco, TX 78596 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 31/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2757619 | (05) | OH |
E91401 | (02) | TX |
H060830 | MEDICARE PTAN (01) | OH |
P00463418 | RR MEDICARE (01) | OH |