Individual
NATALIE A ROBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2727 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6613
(682) 885-6000
(682) 885-6026
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H6550
TX
207Y00000X
Otolaryngology Physician
Primary
H6550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135490406
—
TX
Enumeration date
11/07/2005
Last updated
04/14/2014
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