MEDICARE: MS. TAMARA H. ROBERTSON MS

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
1	101YM0800X	Mental Health Counselor	14181	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14181	OTHER	TX	MS

General Provider Information

NPI Number	:	1932117033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMARA H. ROBERTSON MS

Provider Business Mailing Address
First Line	:	6000 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2952
Country	:	US
Telephone Number	:	361-425-8790
Fax Number	:	361-225-3945

Provider Business Practice Location Address
First Line	:	6000 S STAPLES ST STE 200
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-2952
Country	:	US
Telephone Number	:	361-425-8790
Fax Number	:	361-225-3945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	12/15/2025

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