Individual
MRS. CHRISTY RENEE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 668-5404
Mailing address
2001 S MEDFORD DR, LUFKIN, TX 75901-6260
(936) 639-1141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
698873
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP120872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016SH
BCBS
TX
05
—
2035487-02
—
TX
05
—
2870578-01
—
TX
01
—
865N98
BCBS
TX
01
—
D07564
PALMETTO RR
TX
01
—
P01006556
PALMETTO RR
VA
Enumeration date
11/16/2011
Last updated
08/14/2020
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