Individual
LAURENCE CLAYTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H4651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114779508
—
TX
01
—
8EH090
BCBS
TX
01
—
P01338228
RR
TX
Enumeration date
06/17/2005
Last updated
06/26/2018
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