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NPI Code Detail

MEDICARE: CHRISTINA L ROBERTS PA

MEDICARE:   CHRISTINA L ROBERTS  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA06757TX

General Provider Information

NPI Number : 1619280948
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA L ROBERTS PA
Provider Business Mailing Address
First Line : 8325 JACK FINNEY BLVD
Second Line :
City : GREENVILLE
State : TX
Zip : 75042-6662
Country : US
Telephone Number : 903-450-1143
Fax Number : 903-450-0485
Provider Business Practice Location Address
First Line : 8325 JACK FINNEY BLVD
Second Line :
City : GREENVILLE
State : TX
Zip : 75402
Country : US
Telephone Number : 903-450-1143
Fax Number : 903-450-0485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 12/21/2021

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Directions to “ CHRISTINA L ROBERTS PA” Practice Location

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