Individual
CARLY BEVERLY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
1411 GILMORE ST, TAYLOR, TX 76574-1405
(512) 731-9474
(512) 352-0031
Mailing address
1411 GILMORE ST, TAYLOR, TX 76574-1405
(512) 731-9474
(512) 352-0031
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99363
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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