Organization
EMERGENCY PHYSICIANS OF CENTRAL TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM S. ROBERTS III MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
1401 MEDICAL PKWY, CEDAR PARK, TX 78613-7464
(512) 528-7000
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
(512) 452-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053QQ
BCBS
TX
01
—
0059RD
BCBS
TX
05
—
191410301
—
TX
Enumeration date
11/26/2007
Last updated
11/27/2013
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