Provider Demographics
NPI:1740229251
Name:ROBLES-EMANUELLI, EDUARDO E (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:E
Last Name:ROBLES-EMANUELLI
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:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-2229
Mailing Address - Fax:956-362-4088
Practice Address - Street 1:5502 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8747
Practice Address - Country:US
Practice Address - Phone:956-362-2229
Practice Address - Fax:956-362-4088
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2603207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174049001Medicaid
TX146327502Medicaid
TX1174669493Medicaid
TXH47038Medicare UPIN
TX1174669493Medicaid