Organization
LYNNE J. ROBERTS, M.D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE J. ROBERTS M.D. (PRESIDENT)
(469) 232-9300
Entity
Organization
Contact information
Practice address
7502 GREENVILLE AVE, SUITE 330, DALLAS, TX 75231-3832
(469) 232-9300
(469) 232-9850
Mailing address
7502 GREENVILLE AVE, SUITE 330, DALLAS, TX 75231-3832
(469) 232-9300
(469) 232-9850
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F8647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F78B
BCBS
—
01
—
4111259
AETNA
—
01
—
415509
PHCS
—
01
—
C21126
UPIN
—
Enumeration date
02/08/2008
Last updated
02/08/2008
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