Robertson, Donald Jack

Robertson, Donald Jack is an individual health care provider with primary practice located at 3502 9Th St Ste 260, Lubbock TX 79415-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Robertson, Donald Jack can be contacted via phone (806) 792-8185.

Contact Information

Primary practice address
3502 9Th St Ste 260 Lubbock TX 79415-3300
Phone: (806) 792-8185
Fax: (806) 792-9180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X F7107 Texas

Profile Details

NPI number 1447307871
LBN Legal business name Robertson, Donald Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 23rd, 2017 - about 9 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 1447307871 NPPES
New Mexico MEDICAID 000W0459
New Mexico Other 780000444
New Mexico Other 122634100
New Mexico Other MDF7107
New Mexico Other 299751
New Mexico Other Y741
New Mexico Other 863277
New Mexico MEDICAID 131796806
New Mexico Other A004
New Mexico Other 131796804

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