Organization
LULING EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ROBERTS MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
130 HAYS ST, LULING, TX 78648-3207
(830) 875-7000
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034NH
BCBS
TX
05
—
179609601
—
TX
01
—
179609602
CSHCN
TX
Enumeration date
06/03/2006
Last updated
06/16/2009
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