Individual
SAM SWINFORD ROBERTS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
3106 RIVA RIDGE RD, AUSTIN, TX 78746-1815
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F1940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139425609
—
TX
05
—
139425612
—
TX
05
—
139425614
—
TX
05
—
139425624
—
TX
05
—
139425625
—
TX
05
—
139425626
—
TX
05
—
139425627
—
TX
05
—
139425629
—
TX
05
—
139425631
—
TX
05
—
139425638
—
TX
05
—
139425639
—
TX
05
—
139425640
—
TX
05
—
139425641
—
TX
Enumeration date
05/16/2006
Last updated
09/09/2009
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