| Doctor Name: | DR. SIDNEY CREED ROBERTS |
| NPI Number: | 1093760191 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | H4653 |
| Business Practice Address: | 1201 W Frank Ave Lufkin, TX - 759043357 |
| Business Phone Number: | 9366397466 |
| Business Fax Number: | 9366397472 |
| Mailing Address: | Po Box 95350, GRAPEVINE |
| State: | TX |
| Postal Code: | 760999733 |
| Phone Number: | 8778399517 |
| Fax Number: | 9035312337 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 04/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | H4653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |