MEDICARE: COLETTE MARGARET ROBERTSON M.D.

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	207P00000X	Emergency Medicine Physician	K6269	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K6269	OTHER	TX	MEDICAL LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962476572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLETTE MARGARET ROBERTSON M.D.

Provider Business Mailing Address
First Line	:	600 EAST PINERIDGE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1336
Country	:	US
Telephone Number	:	830-591-7412
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 EAST PINERIDGE AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1336
Country	:	US
Telephone Number	:	830-591-7412
Fax Number	:

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

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/28/2008

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