Provider Demographics
NPI:1942352604
Name:ROBLEDO, JAIME D (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:D
Last Name:ROBLEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21830 KINGSLAND BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2500
Mailing Address - Country:US
Mailing Address - Phone:281-717-4902
Mailing Address - Fax:281-944-9380
Practice Address - Street 1:21830 KINGSLAND BLVD STE 102
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-717-4902
Practice Address - Fax:281-944-9380
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6916208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1235463928OtherNPI