Individual
DR. MARK CALVIN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 N LOOP 1604 E, SAN ANTONIO, TX 78247-2303
(210) 375-7790
(210) 979-9686
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061590-02
—
TX
Enumeration date
11/29/2005
Last updated
07/29/2020
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