John Russell Roberts in Longview - Physician Assistant
John Russell Roberts - NPI 1568493757
John Russell Roberts is a Physician Assistant in Longview, Texas. John Russell Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Russell Roberts is 1568493757. The last update date is 2014-11-19.
John Russell Roberts's current location address is Po Box 4207, Longview, Texas. You can contact this provider via phone number 9033155520. The mailing address for John Russell Roberts is Po Box 4207, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russell Roberts |
|---|---|
| Address | Po Box 4207, Longview, Texas |
| Phone Number | 9033155520 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568493757 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2014-11-19 |
Provider Mailing Address Detail
| Address | Po Box 4207 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756064207 |
| Phone Number | 9033155520 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03743 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81742 | TX | BC/BS | |
| 5536069 | TX | AETNA |
Post Comment/ Review Below
What is the John Russell Roberts's 1568493757?
The John Russell Roberts's NPI (National Provider Identifier) Number is 1568493757. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Russell Roberts?
The John Russell Roberts is physically situated at Po Box 4207, in the city of Longview, state of TX, with the postal code 756064207.
On what date did the Centers for Medicare & Medicaid Services issue the 1568493757 to John Russell Roberts?
The John Russell Roberts received its 1568493757 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
When was the John Russell Roberts's information last updated?
The John Russell Roberts's information was last updated on 2014-11-19.
When was the information pertaining to John Russell Roberts most recently updated or revised?
The details related to John Russell Roberts, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-19.