Provider Demographics
NPI:1386768042
Name:ROBERTS, CATHERIN ANN (MD)
Entity type:Individual
Prefix:
First Name:CATHERIN
Middle Name:ANN
Last Name:ROBERTS
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 1:6510 ABRAMS RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:74231
Mailing Address - Country:US
Mailing Address - Phone:214-553-5501
Mailing Address - Fax:214-553-5520
Practice Address - Street 1:6510 ABRAMS RD
Practice Address - Street 2:SUITE 240
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7217
Practice Address - Country:US
Practice Address - Phone:214-553-5501
Practice Address - Fax:214-553-5520
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG33132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2202084OtherEIN