Provider Demographics
NPI:1053796474
Name:ROBERTS, NATASHA (NP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST
Mailing Address - Street 2:ALKEK 754
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-530-4876
Mailing Address - Fax:713-790-6496
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:ALKEK 754
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-530-4876
Practice Address - Fax:713-790-6496
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2021-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP128826363LA2100X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care