Individual
JACOB CLAYTON ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Mailing address
1501 RED RIVER ST FL 2, AUSTIN, TX 78712-1845
(512) 495-5555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BP10082771
TX
207R00000X
Internal Medicine Physician
207R00000X
ID
Other
Enumeration date
04/05/2022
Last updated
04/27/2023
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