Roberson, Eric Dwayne

Roberson, Eric Dwayne is an individual health care provider with primary practice located at 315 Hughes Rd , Dickinson TX 77539-7303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Roberson, Eric Dwayne can be contacted via phone (832) 868-9313.

Contact Information

Primary practice address
315 Hughes Rd Dickinson TX 77539-7303
Phone: (832) 868-9313
Fax: (832) 422-9393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K2109 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K2109 Texas

Profile Details

NPI number 1801816962
LBN Legal business name Roberson, Eric Dwayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 30th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801816962 NPPES
Texas Other 1801816962 TRICARE
Texas MEDICAID 141210808 TRICARE
Texas MEDICAID 179249101 TRICARE
Texas MEDICAID 141210807 TRICARE
Texas MEDICAID 141210809 TRICARE
Texas Other 1801816962 TRICARE

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