Provider Demographics
NPI:1093961773
Name:ROBERTS, ERICA ALLYSON (MD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:ALLYSON
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 1:225 E EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:281-992-5914
Mailing Address - Fax:281-992-5916
Practice Address - Street 1:225 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3820
Practice Address - Country:US
Practice Address - Phone:281-992-5914
Practice Address - Fax:281-992-5916
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8957207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology