Individual
CLAYTON ERNEST ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
5555 N LAMAR BLVD STE D113, AUSTIN, TX 78751-1075
(512) 993-8871
Mailing address
5555 N LAMAR BLVD STE D113, AUSTIN, TX 78751-1075
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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