Individual
BETHANY KATE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4504 SOUTHRIDGE DR, ROWLETT, TX 75088-5083
(214) 738-9394
Mailing address
4504 SOUTHRIDGE DR, ROWLETT, TX 75088-5083
(214) 738-9394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12087
TX
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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