Individual
DR. ROBERTA MARIE KALAFUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1888 ANTILLEY RD, ABILENE, TX 79606-5205
(325) 795-1888
(325) 795-9537
Mailing address
1888 ANTILLEY RD, ABILENE, TX 79606-5205
(325) 795-1888
(325) 795-9537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J2625
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J2625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102407701
—
TX
01
—
116346100
FIRSTCARE
TX
01
—
116346104
FIRSTCARE/ADC
TX
01
—
130610202
MEDICAID/ADC
TX
01
—
250008692
MEDICARE RR
TX
01
—
5507518
AETNA
TX
01
—
81T421
BCBS
TX
01
—
8X7152
BCBS/ADC
TX
01
—
CR1046
MCR RXR
TX
Enumeration date
06/21/2005
Last updated
07/30/2018
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