Doctor Name: | CRISTINA ROBERTS |
NPI Number: | 1083060024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NP130900 |
Business Practice Address: | 975 Bowler Rd Waller, TX - 774849633 |
Business Phone Number: | 8326464182 |
Business Fax Number: | |
Mailing Address: | 975 Bowler Rd, WALLER |
State: | TX |
Postal Code: | 774849633 |
Phone Number: | 8326464182 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2016 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | NP130900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |