Organization
FIVE STAR EMERGENCY PHYSICIANS PA
Active
Other names
Killeen Emergency Physicians PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM ROBERTS MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
850 W CENTRAL TEXAS EXPY, HARKER HEIGHTS, TX 76548-1890
(254) 690-0900
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
(512) 452-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016PL
BCBS
TX
01
—
0051PV
BCBS
TX
05
—
187376201
—
TX
Enumeration date
01/12/2007
Last updated
05/08/2012
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