| Doctor Name: | MR. THOMAS HENRY ROBERSON |
| NPI Number: | 1033147343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0110840461 |
| Business Practice Address: | 10620 Spotsylvania Ave Fredericksburg, VA - 224082637 |
| Business Phone Number: | 5407101086 |
| Business Fax Number: | 5407101126 |
| Mailing Address: | 10620 Spotsylvania Ave, FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224082637 |
| Phone Number: | 5407101086 |
| Fax Number: | 5407101126 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 11/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110840461 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |