Individual
KYLE J ROBERTS
Active
Individual
KYLE J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
Q2055
TX
207R00000X
Internal Medicine Physician
MT200614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8FF070
BCBS
TX
01
—
MT200614
MEDICAL TRAINING NUMBER
PA
Enumeration date
09/29/2011
Last updated
08/16/2022
Update your record
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