Provider Demographics
NPI:1285021964
Name:ROBLES, RAQUEL T (MD)
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:T
Last Name:ROBLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11803 SOUTH FWY STE 213
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-7030
Mailing Address - Country:US
Mailing Address - Phone:817-806-1123
Mailing Address - Fax:817-806-1124
Practice Address - Street 1:11803 SOUTH FWY STE 213
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7030
Practice Address - Country:US
Practice Address - Phone:817-806-1123
Practice Address - Fax:817-806-1124
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT6790207V00000X
IL036-146555207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology