Individual
KYLE J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
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
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