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Individual
MR. RICHARD R ROBERTS
Active
Individual
MR. RICHARD R ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
648037
TX
363L00000X
Nurse Practitioner
Primary
AP115041
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648037
STATE LICENSE
TX
01
—
AP115041
STATE LICENSE
TX
Enumeration date
02/15/2007
Last updated
05/22/2014
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