Larry C Roberts, MD | |
2005 N 2nd Ave Ste D, Canyon, TX 79015-2545 | |
(806) 510-3376 | |
(806) 510-3379 |
Full Name | Larry C Roberts |
---|---|
Gender | Male |
Speciality | Dermatology - Dermatopathology |
Location | 2005 N 2nd Ave Ste D, Canyon, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578565859 | NPI | - | NPPES |
070002897 | Other | TX | MEDICARE RAILROAD |
807985 | Other | TX | BLUE CROSS BLUE SHIELD |
037631101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | E8856 (Texas) | Primary |
174400000X | Specialist | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Larry C Roberts, MD 2005 N 2nd Ave, Canyon, TX 79015-2544 Ph: (806) 510-3376 | Larry C Roberts, MD 2005 N 2nd Ave Ste D, Canyon, TX 79015-2545 Ph: (806) 510-3376 |
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