Individual
JAY WAYNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 850-1104
Mailing address
2501 PARKVIEW DR, SUITE 560, FORT WORTH, TX 76102-5824
(817) 850-1100
(817) 850-1104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
Q3780
TX
Other
Enumeration date
02/24/2014
Last updated
03/16/2021
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