Roberts, William David

Roberts, William David is an individual health care provider with primary practice located at 3502 Knickerbocker Rd , San Angelo TX 76904-7671. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberts, William David can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
3502 Knickerbocker Rd San Angelo TX 76904-7671
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1023122926
LBN Legal business name Roberts, William David
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 18th, 2017 - about 8 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 1023122926 NPPES
Texas Other PA02869 TX LICENSE

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