Individual
MR. MICHAEL CHRISTOPHER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
906 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 655-1313
(903) 657-6067
Mailing address
P.O. BOX 2527, LONGVIEW, TX 75606-2527
(903) 655-1313
(903) 657-6067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K5391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046847201
—
TX
Enumeration date
06/06/2006
Last updated
03/03/2009
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