Organization
EMERGENCY SERVICE STAFFING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ROBERTS MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-3777
Mailing address
720 W 34TH ST, SUITE 101, AUSTIN, TX 78705-1240
(512) 452-8533
(512) 452-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022DJ
BCBS
TX
01
—
DE8976
RAILROAD MEDICARE
TX
Enumeration date
06/02/2006
Last updated
08/22/2020
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