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Individual
VALORIE R ROBERTSON
Active
Individual
VALORIE R ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025DH
BCBS NUMBER
TX
01
—
080132314
RAILROAD MEDICARE
TX
01
—
BR3912296
US CONTROLLED SUBSTANCE
TX
01
—
J5194
STATE LICENSE NUMBER
TX
01
—
K0087437
TX CONTROLLED SUBSTANCE
TX
Enumeration date
07/24/2006
Last updated
04/09/2008
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