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Individual
DR. CHARLES ROBERTS
Active
Individual
DR. CHARLES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
PHYTEMP
TX
208D00000X
General Practice Physician
Primary
T6690
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/04/2019
Last updated
04/18/2022
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