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Individual
ROBERTA LEE FENNIG
Active
Individual
ROBERTA LEE FENNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
J2873
TX
2084P0800X
Psychiatry Physician
J2873
TX
Other
Enumeration date
08/05/2006
Last updated
09/11/2025
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