Individual
KRISTOPHER BRIAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20048 FM 756, TYLER, TX 75703-8528
(760) 920-3521
Mailing address
20048 FM 756, TYLER, TX 75703-8528
(760) 920-3521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
990859
TX
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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