Individual
DR. THERESA ELIZABETH ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 WORNALL RD STE 530, KANSAS CITY, MO 64111-5942
(816) 932-7900
(816) 932-9868
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
22642
MS
208600000X
Surgery Physician
U6795
TX
2086S0102X
Surgical Critical Care Physician
Primary
2004031001
MO
2086S0102X
Surgical Critical Care Physician
39735
OK
2086S0102X
Surgical Critical Care Physician
U6795
TX
2086S0127X
Trauma Surgery Physician
U6795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08220715
—
MS
05
—
201078750A
—
OK
05
—
2407015
—
LA
Enumeration date
10/19/2006
Last updated
11/15/2023
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