Individual
CORY ANTHONY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1355 RIVER BEND DRIVE, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Mailing address
1355 RIVER BEND DRIVE, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L0914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148590601
—
TX
05
—
148590602
—
TX
01
—
220031778
RAILROAD MEDICARE
TX
01
—
8F2911
BCBS DALLAS
TX
01
—
8S9353
BCBS 99
TX
Enumeration date
07/25/2006
Last updated
09/30/2015
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