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Organization
WILLIAM BOYD ROBERSON JR, DO PC
Active
Organization
WILLIAM BOYD ROBERSON JR, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BOYD ROBERSON JR. DO (PRESIDENT)
(903) 738-1623
Entity
Organization
Contact information
Practice address
8511 FM 856 N, TROUP, TX 75789-8073
(903) 738-1623
Mailing address
8511 FM 856 N, TROUP, TX 75789-8073
(903) 738-1623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L9873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170727501
—
TX
Enumeration date
04/17/2014
Last updated
04/17/2014
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