Individual
DAVID ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10013 JOES BAYOU RD, BAY ST LOUIS, MS 39520-1702
(601) 422-9626
Mailing address
523 RS COUNTY ROAD 2400, EMORY, TX 75440
(903) 521-8826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R855938
MS
163WG0000X
General Practice Registered Nurse
1036322
TX
175F00000X
Naturopath
—
—
Other
Enumeration date
03/30/2017
Last updated
10/15/2024
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