Provider Demographics
NPI:1093025678
Name:ROBERTSON, QUINTEN (DNP)
Entity Type:Individual
Prefix:DR
First Name:QUINTEN
Middle Name:
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18550 N. 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354
Mailing Address - Country:US
Mailing Address - Phone:281-252-8600
Mailing Address - Fax:
Practice Address - Street 1:1700 POST OAK BLVD SUITE 600
Practice Address - Street 2:2 BLVD PLACE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-7503
Practice Address - Country:US
Practice Address - Phone:469-200-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily