Provider Demographics
NPI:1992714919
Name:ROBERTS, ERIN E (PA-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:ROBERTS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 FANNIN ST STE 1508
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5306
Mailing Address - Country:US
Mailing Address - Phone:713-704-5065
Mailing Address - Fax:713-704-4355
Practice Address - Street 1:6400 FANNIN ST STE 2500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1537
Practice Address - Country:US
Practice Address - Phone:713-704-5065
Practice Address - Fax:713-704-4355
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04503363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182463301Medicaid
TX8L5087Medicare PIN
8G7740Medicare PIN
TX182463301Medicaid