Individual
BRYAN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-0111
Mailing address
1050 LAKE CAROLYN PKWY APT 2356, IRVING, TX 75039-3973
(410) 718-0589
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1191091
TX
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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