Individual
JON ELLIOT ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, SLOAN BLDG, CORPUS CHRISTI, TX 78411-1721
(361) 694-4447
(361) 694-4179
Mailing address
3533 S ALAMEDA ST, SLOAN BLDG, 5TH FLOOR, CORPUS CHRISTI, TX 78411-1721
(361) 694-4447
(361) 694-4179
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
N9629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785142
—
NY
05
—
283500101
—
TX
Enumeration date
07/31/2006
Last updated
10/30/2020
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