Provider Demographics
NPI:1427034495
Name:ROBLES, MICHAEL W (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:W
Last Name:ROBLES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3418 MIDCOURT RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4944
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3418 MIDCOURT RD
Practice Address - Street 2:SUITE 118
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4944
Practice Address - Country:US
Practice Address - Phone:214-420-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-008443207ZP0101X
TXL8923207ZP0101X
GA056474207ZP0101X
NC2005-00398207ZP0101X
CA20A8161207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology