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Individual

AUSTI J ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5401 LEBANON RD, FRISCO, TX 75034-5150
(972) 624-8170
Mailing address
5401 LEBANON RD, FRISCO, TX 75034-5150
(972) 624-8170

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP138720
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144703463
TX
Enumeration date
09/12/2018
Last updated
11/05/2024
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