Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | BP10036792 | TX |
Y | 208000000X | Pediatrician | BP10036792 | TX |
NPI | 1316293806 |
---|---|
Provider Name | Laurie A Robak |
First Address | Houston, TX 77025-2940 |
Second Address | Houston, TX 77030-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |