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Mr. Timothy Wayne Robertson JR., LSA,CSA
Surgical Physician Assistant in Katy, Texas
NPI 1538415583

Timothy Wayne Robertson JR. is a Surgical Physician Assistant based in Katy, TX and is specialized in Surgical. Timothy Wayne Robertson JR. practices in Katy, TX and has the professional credentials of LSA,CSA. The NPI Number for Timothy Wayne Robertson JR. is 1538415583 and holds a License No. SA00487 (Texas).

The current practice location address for Timothy Wayne Robertson JR. is 4427 N Vineyard Meadow Ln, Katy, TX and can be reached out via phone at 832-248-8635.

Location: 4427 N Vineyard Meadow Ln, Katy, TX, 77449-3445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538415583
Provider Name
Timothy Wayne Robertson JR.
Credential
LSA,CSA
Provider Entity Type
Individual
Gender
Male
Address
4427 N Vineyard Meadow Ln, Katy, TX, 77449-3445
Phone Number
832-248-8635
Fax Number
Provider Enumeration Date
07/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA00487 01 TX N/A
institution
Provider Business Practice Location Address Details
Address
4427 N Vineyard Meadow Ln
City
Katy
State
Texas
Zip
77449-3445
Phone Number
832-248-8635
Fax Number
person
Provider Business Mailing Address Details
Address
4427 N Vineyard Meadow Ln
City
Katy
State
Texas
Zip
77449-3445
Phone Number
832-248-8635
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
SA00487 (Texas)
Definition
Definition to come...
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