Individual
JERRY ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRPH
Contact information
Practice address
18040 MIDWAY RD APT 135, DALLAS, TX 75287-6506
(817) 822-4954
Mailing address
PO BOX 84, ARLINGTON, TX 76004-0084
(817) 822-4954
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/25/2018
Last updated
11/25/2018
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