Individual provider · Type 1 NPI
Sidney Creed Roberts, MD
Therapeutic Radiology Physician · Lufkin, TX
NPI number
1093760191
Active
Practice location
1201 W Frank Ave
Lufkin, TX 75904-3357
Fax (936) 639-7472
Mailing address
PO Box 95350
Grapevine, TX 76099-9733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician | 2085R0001X | H4653 (TX) |
| Therapeutic Radiology Physician Primary | 2085R0203X | H4653 (TX) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
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About NPI 1093760191
Sidney Creed Roberts, MD's National Provider Identifier is 1093760191, issued on May 24, 2006. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Lufkin, TX. The record was last updated on Feb 25, 2022.