Individual
DR. CHARLES ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4134 VALLEY RIDGE RD, DALLAS, TX 75220-1924
(214) 499-6576
Mailing address
4134 VALLEY RIDGE RD, DALLAS, TX 75220-1924
(214) 499-6576
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
PHYTEMP
TX
208D00000X
General Practice Physician
Primary
T6690
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
04/18/2022
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