Provider Demographics
NPI:1346203247
Name:ROBERTS, CATHLEEN DOMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:DOMAN
Last Name:ROBERTS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:3001 GEORGE BUSH HWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3542
Mailing Address - Country:US
Mailing Address - Phone:214-343-6663
Mailing Address - Fax:214-343-2814
Practice Address - Street 1:12655 N CENTRAL EXPY
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1700
Practice Address - Country:US
Practice Address - Phone:972-788-1858
Practice Address - Fax:972-788-2798
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-07-12
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Provider Licenses
StateLicense IDTaxonomies
TXJ71612080P0008X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities