Provider Demographics
NPI:1295847424
Name:PRESCOD, ROBERTO GILBERTO (CT, ASCP# 04075098)
Entity Type:Individual
Prefix:
First Name:ROBERTO
Middle Name:GILBERTO
Last Name:PRESCOD
Suffix:
Gender:M
Credentials:CT, ASCP# 04075098
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 UPLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7025
Mailing Address - Country:US
Mailing Address - Phone:281-545-1935
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7261
Practice Address - Fax:713-794-7657
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QC2700XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyCytotechnology