Individual
DR. JADIE BOLTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1100 STONE RD, SUITE 2020, KILGORE, TX 75662-5482
(903) 983-2020
(903) 983-4000
Mailing address
PO BOX 8000, KILGORE, TX 75663-8000
(903) 983-2020
(903) 983-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7123T
TX
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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