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Individual

PAUL B ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7777
Mailing address
PO BOX 731912, DALLAS, TX 75373-1912
(903) 877-7777
(817) 563-3699

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J5633
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0073MP
BCBS
TX
05
173296801
TX
Enumeration date
06/13/2006
Last updated
04/15/2014
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