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NPI Code Detail

MEDICARE: MISS MEGAN ANNE ROBERTS PA-C

MEDICARE: MISS MEGAN ANNE ROBERTS PA-C
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 AssistantPA10047TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2350003502OTHERTXCSHCN

General Provider Information

NPI Number : 1750758918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MEGAN ANNE ROBERTS PA-C
Provider Business Mailing Address
First Line : 4611 GUADALUPE ST STE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78751-2928
Country : US
Telephone Number : 512-476-2830
Fax Number : 512-476-2832
Provider Business Practice Location Address
First Line : 4611 GUADALUPE ST STE 200
Second Line :
City : AUSTIN
State : TX
Zip : 78751-2928
Country : US
Telephone Number : 512-476-2830
Fax Number : 512-476-2832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2015
Last Update Date : 01/29/2026

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Directions to “ MISS MEGAN ANNE ROBERTS PA-C” Practice Location

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