Provider Demographics
NPI:1407818206
Name:ROBLES, LUIS R (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:R
Last Name:ROBLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5960 W PARKER RD
Mailing Address - Street 2:STE 278 191
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7767
Mailing Address - Country:US
Mailing Address - Phone:214-725-0688
Mailing Address - Fax:469-366-9377
Practice Address - Street 1:5960 W PARKER RD
Practice Address - Street 2:SUITE 278#191
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7767
Practice Address - Country:US
Practice Address - Phone:214-725-0688
Practice Address - Fax:972-250-0450
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7144174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B61VMedicare UPIN