Individual
KIRAN JANNAT ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 HOSPITAL BLVD, 5 WEST, CORPUS CHRISTI, TX 78405
(361) 902-6762
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6269
TX
Other
Enumeration date
04/19/2016
Last updated
08/14/2018
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